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1487145553
MICHELLE ELISE SHIVELY
PORTLAND, OR
NPI
1487145553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62762)
Enumeration Date
2018-05-24
Last Update Date
2018-05-24
Business Address
MICHELLE ELISE SHIVELY DPT, PT
917 SW OAK ST STE 407
PORTLAND, OR 97205-2838
Phone number: 503-701-4390
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Mailing Address
MICHELLE ELISE SHIVELY DPT, PT
1030 NW 12TH AVE STE 1
PORTLAND, OR 97209-2838
Phone number: 503-701-4390
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