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1568925287
SAMUEL SHEPHERD
GRESHAM, OR
NPI
1568925287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2019-04-09
Last Update Date
2022-01-03
Business Address
SAMUEL SHEPHERD OTR/L
24076 SE STARK ST STE 200
GRESHAM, OR 97030-3376
Phone number: 503-491-1666
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Mailing Address
SAMUEL SHEPHERD OTR/L
110 SE 65TH AVE
PORTLAND, OR 97215-1324
Phone number:
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