SHAWNA DEANNE IVERSON

SALEM, OR
NPI1922085307
Former NameSHAWNA DEANNE WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1053130)
Enumeration Date2005-12-28
Last Update Date2007-07-08
Business Address
Mrs. SHAWNA DEANNE IVERSON MOT OTR L
290 MOYER LN NW
SALEM, OR 97304
Phone number: 503-370-8990
Mailing Address
Mrs. SHAWNA DEANNE IVERSON MOT OTR L
1402 GWINN ST E
MONMOUTH, OR 97361
Phone number: 503-510-5814
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