SHELLEY DALE JOHNSTON

LA GRANDE, OR
NPI1578513917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: OR  0557)
Enumeration Date2006-05-10
Last Update Date2014-07-02
Business Address
Mr. SHELLEY DALE JOHNSTON RPT
301 4TH ST
LA GRANDE, OR 97850-1901
Phone number: 541-963-9340
Mailing Address
Mr. SHELLEY DALE JOHNSTON RPT
301 4TH ST
LA GRANDE, OR 97850-1901
Phone number: 541-963-9340