| Clyde Weber, | |
| 
					16100 Nw Cornell Rd, Beaverton, OR 97006-7334  | |
| (971) 245-6663 | |
| Not Available | 
| Full Name | Clyde Weber | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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: Not Enrolled in Medicare 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: Not Enrolled in Medicare 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  |