SHANDA AILENE MCCORMICK

BEAVERTON, OR
NPI1932181062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4675)
Enumeration Date2005-11-15
Last Update Date2007-11-09
Business Address
-- SHANDA AILENE MCCORMICK PT
13470 SW FARMINGTON RD
BEAVERTON, OR 97005-2618
Phone number: 503-644-3311
Mailing Address
-- SHANDA AILENE MCCORMICK PT
11481 SW HALL BLVD STE 201
PORTLAND, OR 97223-8403
Phone number: 800-219-8835
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