Organization
INDEPENDENT OSTEOPATHIC MANIPULATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANAEL CLETUS WEIGEL DO (PROVIDER)
(541) 223-9720
Entity
Organization
Contact information
Practice address
456 SW WASHINGTON AVE, CORVALLIS, OR 97333-4405
(541) 223-9720
(541) 264-5591
Mailing address
456 SW WASHINGTON AVE, CORVALLIS, OR 97333-4405
(541) 223-9720
(541) 264-5591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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