Moeggenberg, Sally Marie
Moeggenberg, Sally Marie is an sole proprietor health care provider with primary practice located at 3101 Sw Sam Jackson Park Rd , Portland OR 97239-3009. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Moeggenberg, Sally Marie can be contacted via phone (503) 221-3429.Contact Information
Primary practice address
3101 Sw Sam Jackson Park Rd
Portland OR 97239-3009
Phone: (503) 221-3429
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2422 | Oregon |
Profile Details
| NPI number | 1689982126 |
|---|---|
| LBN Legal business name | Moeggenberg, Sally Marie |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2010 |
| Last updated | Sep 17th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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