SHANE EMERSON BAZE

SPRINGFIELD, OR
NPI1629317706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  60057)
Enumeration Date2013-02-08
Last Update Date2013-11-14
Business Address
-- SHANE EMERSON BAZE P.T.
2728 PHEASANT BLVD SUITE 100
SPRINGFIELD, OR 97477-7509
Phone number: 541-736-8870
Mailing Address
-- SHANE EMERSON BAZE P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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