Individual
PAULINA SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
815 NW 9TH ST, SUITE180, CORVALLIS, OR 97330-6173
(541) 768-5157
(541) 768-5080
Mailing address
815 NW 9TH ST, SUITE180, CORVALLIS, OR 97330-6173
(541) 768-5157
(541) 768-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61645
OR
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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