SHAUNTI BASIL

PORTLAND, OR
NPI1568944908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  62070)
Enumeration Date2018-09-01
Last Update Date2018-09-01
Business Address
SHAUNTI BASIL PT, DPT
4805 NE GLISAN STREET
PORTLAND, OR 97213
Phone number: 503-215-1111
Mailing Address
SHAUNTI BASIL PT, DPT
1702 NE 125TH AVE.
PORTLAND, OR 97230
Phone number:
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