SHANA MARLENE BASOM

BEAVERTON, OR
NPI1114009479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5283)
Enumeration Date2006-10-19
Last Update Date2009-07-15
Business Address
Ms. SHANA MARLENE BASOM Physical Therapist
735 SW 158TH AVE STE 160
BEAVERTON, OR 97006-4952
Phone number: 503-597-0035
Mailing Address
Ms. SHANA MARLENE BASOM Physical Therapist
735 SW 158TH AVE STE 160
BEAVERTON, OR 97006-4952
Phone number: 503-597-0035
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