Individual
MR. DAVID JAMES SHERDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5405 SE WOODWARD ST, PORTLAND, OR 97206-2168
(503) 916-5140
Mailing address
5265 NW SEWELL RD, HILLSBORO, OR 97124-4716
(503) 693-0870
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-749767
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-AT-749767
STATE LICENSE NUMBER
OR
Enumeration date
03/24/2007
Last updated
07/08/2007
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