Clyde Weber, | |
16100 Nw Cornell Rd, Beaverton, OR 97006-7334 | |
(971) 245-6663 | |
Not Available |
Full Name | Clyde Weber |
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Gender | Male |
Speciality | Physical Therapist |
Location | 16100 Nw Cornell Rd, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497433700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Clackamas Sportscare Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689702722 PECOS PAC ID: 2264476431 Enrollment ID: O20050621000571 |
Provider Name | Sportscare Physical Therapy @ Cornell, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649534793 PECOS PAC ID: 7517115579 Enrollment ID: O20120917000315 |
Mailing Address | Practice Location Address |
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Clyde Weber, 11400 Sw Jody St, Beaverton, OR 97005-1542 Ph: (308) 233-7357 | Clyde Weber, 16100 Nw Cornell Rd, Beaverton, OR 97006-7334 Ph: (971) 245-6663 |
Krystyna Lee Lue, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8354 Sw Nimbus Ave, Beaverton, OR 97008 Phone: 971-219-4899 | |
Brynne Begalke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007 Phone: 503-216-8825 | |
Marylou Strong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4950 Fax: 503-626-5529 | |
Amy Jo C Tanous, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13470 Sw Farmington Rd, Beaverton, OR 97005 Phone: 503-644-3311 Fax: 503-627-0112 | |
Meruu Core Choice Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1975 Nw 167th Pl # 100-43, Beaverton, OR 97006 Phone: 971-205-2630 | |
Tyler Baca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Sw 153rd Dr Ste 210, Beaverton, OR 97003 Phone: 971-727-8155 | |
Linda Marie Froemming, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Sw Bowerman Dr # Bj1, Beaverton, OR 97005 Phone: 503-671-3962 |