Individual
ELIZABETH SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2262 BANYONWOOD AVE NW, SALEM, OR 97304-1341
(503) 508-5032
(503) 763-2669
Mailing address
2262 BANYONWOOD AVE NW, SALEM, OR 97304-1341
(503) 508-5032
(503) 763-2669
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3042
OR
Other
Enumeration date
03/05/2007
Last updated
05/12/2010
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