SHANE MICHAEL PETERSON

FOREST GROVE, OR
NPI1336445535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  06407)
Enumeration Date2011-02-04
Last Update Date2011-02-04
Business Address
Mr. SHANE MICHAEL PETERSON D.P.T.
3300 19TH AVENUE
FOREST GROVE, OR 97116
Phone number: 503-357-7119
Mailing Address
Mr. SHANE MICHAEL PETERSON D.P.T.
#560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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