Individual
MR. NATHAN GLENNDALE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
700 DEBORAH RD STE 190, NEWBERG, OR 97132-3075
(503) 537-7070
(503) 395-1911
Mailing address
700 DEBORAH RD STE 190, NEWBERG, OR 97132-3075
(503) 537-7070
(503) 395-1911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5069
OR
Other
Enumeration date
10/03/2006
Last updated
08/19/2019
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