IndividualActive
Sally Moeggenberg, MPT
NPI 1689982126 · Pediatric Physical Therapist · Portland, OR
Provider details
- NPI number
- 1689982126
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2422 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3101 Sw Sam Jackson Park Rd
Portland, OR 97239-3009
Phone: (503) 221-3429
Approximate (ZIP-level) locationGet directions
Mailing address
4063 Se Ash St
Portland, OR 97214-2017
Registry dates
- Enumerated
- 2010-09-17
- Last updated
- 2010-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.