Individual
MRS. SHINY VERGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 273-5018
Mailing address
175 SE 58TH CT, HILLSBORO, OR 97123-6960
(503) 640-5988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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