Mr James Richard Niebergall, PT | |
Po Box 1979, Suite 101 Tai Bethany Physical Therapy, Estacada, OR 97023-1979 | |
(503) 466-2254 | |
(503) 466-1143 |
Full Name | Mr James Richard Niebergall |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | Po Box 1979, Estacada, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417908294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5165 (Oregon) | Primary |
225100000X | Physical Therapist | PT00007392 (Washington) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr James Richard Niebergall, PT Po Box 1979, Estacada, OR 97023-1979 Ph: (503) 630-5314 | Mr James Richard Niebergall, PT Po Box 1979, Suite 101 Tai Bethany Physical Therapy, Estacada, OR 97023-1979 Ph: (503) 466-2254 |
Rhandi Jackson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Se Highway 224, Estacada, OR 97023 Phone: 503-698-5500 | |
Josh Hansen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 372 S Broadway St, Estacada, OR 97023 Phone: 503-630-5314 |