MICHELLE ELISE SHIVELY

PORTLAND, OR
NPI1487145553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  62762)
Enumeration Date2018-05-24
Last Update Date2018-05-24
Business Address
MICHELLE ELISE SHIVELY DPT, PT
917 SW OAK ST STE 407
PORTLAND, OR 97205-2838
Phone number: 503-701-4390
Mailing Address
MICHELLE ELISE SHIVELY DPT, PT
1030 NW 12TH AVE STE 1
PORTLAND, OR 97209-2838
Phone number: 503-701-4390