Individual
STEVEN C SHALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
400 NW WALNUT BLVD STE 100, CORVALLIS, OR 97330-3800
(541) 757-8543
Mailing address
400 NW WALNUT BLVD STE 100, CORVALLIS, OR 97330-3800
(541) 757-8543
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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