Dr Timothy Max Wallenburg, PT, DPT | |
17420 Meinig Ave, Sandy, OR 97055-8068 | |
(503) 427-0118 | |
(503) 427-0279 |
Full Name | Dr Timothy Max Wallenburg |
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Gender | Male |
Speciality | Physical Therapist |
Location | 17420 Meinig Ave, Sandy, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497358451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 65063 (Oregon) | Primary |
Provider Name | Physiotherapy Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184362337 PECOS PAC ID: 3577470442 Enrollment ID: O20050622001174 |
Mailing Address | Practice Location Address |
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Dr Timothy Max Wallenburg, PT, DPT 2001 Solar Dr Ste 150, Oxnard, CA 93036-0680 Ph: (805) 604-1924 | Dr Timothy Max Wallenburg, PT, DPT 17420 Meinig Ave, Sandy, OR 97055-8068 Ph: (503) 427-0118 |
Dr. Kordell Lewis Mcpherson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16621 Champion Way Ste 100, Sandy, OR 97055 Phone: 503-668-5321 | |
Dr. Nancy Penrod Monnie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16621 Champion Way, Suite 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 | |
Nancy P. Monnie, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16621 Champion Way, Suite 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 | |
Sandy Sportscare Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 16621 Champion Way Ste 100, Sandy, OR 97055 Phone: 503-668-5321 | |
Stewart Wilent, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16621 Champion Way Ste 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 | |
Victoria Elizabeth Guinn, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16621 Champion Way Ste 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 |