SALLY MARIE MOEGGENBERG

PORTLAND, OR
NPI1689982126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: OR  2422)
Enumeration Date2010-09-17
Last Update Date2010-09-17
Business Address
Mrs. SALLY MARIE MOEGGENBERG MPT
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3009
Phone number: 503-221-3429
Mailing Address
Mrs. SALLY MARIE MOEGGENBERG MPT
4063 SE ASH ST
PORTLAND, OR 97214-2017
Phone number: 503-234-3503