Jeb Wild, DPT

NPI 1497526222 · on the registry since 2024

Practice

Address: 24076 Se Stark St Ste 200
Gresham, OR 97030
Phone: (503) 491-1666
Organisation at this address: Gresham Sportscare
All Manual Therapy
Gregory Gullo Md Pc
Mountainview Mri Llc
Stark Street Plaza, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon