| Victor A Wilson, DPT | |
|
735 Sw 158th Ave Ste 160, Beaverton, OR 97006-4952 | |
| (503) 597-0035 | |
| (503) 726-5490 |
| Full Name | Victor A Wilson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 735 Sw 158th Ave Ste 160, 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 |
|---|---|---|---|
| 1730619719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 62232 (Oregon) | Primary |
| Provider Name | Erhardt Physical Therapy And Sports Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326110313 PECOS PAC ID: 1153214739 Enrollment ID: O20040206000241 |
| Provider Name | Active Edge Physical Therapy & Sports Medicine P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730324336 PECOS PAC ID: 7113080714 Enrollment ID: O20090108000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor A Wilson, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Victor A Wilson, DPT 735 Sw 158th Ave Ste 160, Beaverton, OR 97006-4952 Ph: (503) 597-0035 |
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 |