Individual
MEGHAN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6626 SE 21ST AVE, PORTLAND, OR 97202-5541
(808) 205-1153
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
400268
OR
Other
Enumeration date
11/30/2009
Last updated
04/15/2024
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