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NPI Code Detail

MEDICARE: MICHAEL SHEARER PT

MEDICARE: MICHAEL SHEARER PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist3041OR

General Provider Information

NPI Number : 1588603849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SHEARER PT
Provider Business Mailing Address
First Line : 335 SE 8TH AVE
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-4246
Country : US
Telephone Number : 503-640-6064
Fax Number :
Provider Business Practice Location Address
First Line : 335 SE 8TH AVE
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-4246
Country : US
Telephone Number : 503-640-6064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 02/27/2014

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Directions to “ MICHAEL SHEARER PT” Practice Location

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