Individual
DR. MATTHEW LOCKE WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
777 NW 19TH AVE APT 107, PORTLAND, OR 97209-1391
(860) 335-2543
Mailing address
777 NW 19TH AVE APT 107, PORTLAND, OR 97209-1391
(860) 335-2543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008373
CT
2251S0007X
Sports Physical Therapist
Primary
62632
OR
Other
Enumeration date
08/12/2008
Last updated
01/06/2020
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