Gaelen Watt, DPT
Physical Therapist in Clackamas, OR. Individual provider (NPI-1).
NPI number1124412366
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1124412366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gaelen Watt
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2015
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 63280 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
10121 Se Sunnyside Rd#208
Clackamas, OR 97015
Phone 503-794-0103 · Fax 503-794-0104
Mailing address
10121 Se Sunnyside Rd#208
Clackamas, OR 97015
Phone 503-794-0103 · Fax 503-794-0104
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All 75 Physical Therapist providers in Clackamas · All 2,438 providers in Clackamas
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