Individual
SHOSHANA ELIZABETH FOXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2200 NE NEFF RD, SUITE 202, BEND, OR 97701-4283
(541) 388-7738
(541) 312-0121
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5774
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246536
—
OR
Enumeration date
10/12/2007
Last updated
05/25/2012
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