Individual
SHANNON M FORRESTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1655 CAPITOL ST NE, SALEM, OR 97301-7845
(503) 983-8811
(503) 364-1376
Mailing address
1655 CAPITOL ST NE, SALEM, OR 97301-7845
(503) 983-8811
(503) 364-1376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3693
OR
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/05/2006
Last updated
02/28/2022
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