Weatherford, Justin Thomas

Weatherford, Justin Thomas is an individual health care provider with primary practice located at 9148 Se Hideaway Ct , Damascus OR 97089-6324. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Weatherford, Justin Thomas can be contacted via phone (503) 666-4505.

Contact Information

Primary practice address
9148 Se Hideaway Ct Damascus OR 97089-6324
Phone: (503) 666-4505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4982 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00009852 Washington

Profile Details

NPI number 1588755490
LBN Legal business name Weatherford, Justin Thomas
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 16th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588755490 NPPES
Oregon Other 273806 OMAP #

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