Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gaelen Watt, DPT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124412366

Mr. Gaelen Watt, DPT is a Student in an Organized Health Care Education/Training Program in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10121 SE Sunnyside Rd #208
Clackamas, OR 97015
Phone: (503) 794-0103
Fax: (503) 794-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63280 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124412366
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 25, 2015
Last updated in NPPESSeptember 18, 2019

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