Individual
MR. DAVID PAUL SHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
350 S 8TH ST, LEBANON, OR 97355-2242
(541) 259-1221
Mailing address
1047 FILBERT ST, JEFFERSON, OR 97352-9348
(541) 327-8233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5375
OR
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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