Individual
SHERICE HALVORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
472 7TH AVE, HAMMOND, OR 97121-9716
(253) 973-2266
Mailing address
472 7TH AVE, HAMMOND, OR 97121-9716
(253) 973-2266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07035
OR
225200000X
Physical Therapy Assistant
P1 60047620
WA
225200000X
Physical Therapy Assistant
PTA-4262
ID
Other
Enumeration date
10/18/2015
Last updated
10/18/2015
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