Individual
MICHAEL A SHELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
7011 SW STEPHEN LN, PORTLAND, OR 97225-1507
(443) 569-9234
Mailing address
7011 SW STEPHEN LN, PORTLAND, OR 97225-1507
(443) 569-9234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05189
MD
Other
Enumeration date
09/04/2008
Last updated
10/23/2009
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