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General NPI Number Information
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NPI Number | 1194694331
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Entity Type | Individual
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Provider Name | CHRISTA GRACE SHIPMAN PT DPT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 613 HICKORY ST NW
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City | ALBANY
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State | OR
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Zip | 97321-1752
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Country | US
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Telephone | 541-928-1411
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Fax | 541-753-4256
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Provider Business Mailing Address
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Address Line | 2635 NW ROLLING GREEN DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3519
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Country | US
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Telephone | 541-752-0545
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Fax | 541-753-4256
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 65863
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License Number State | OR
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