Individual
MICHAEL SHANE KERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2675 WILLAMETTE ST, EUGENE, OR 97405-3134
(541) 343-8889
Mailing address
20 E 19TH AVE, EUGENE, OR 97401-4058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62642
OR
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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