Individual
SARAH RACHEL SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
(503) 288-0014
Mailing address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
(503) 288-0014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5435
OR
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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