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Individual

HOLLY SHEARER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1425 N KILLINGSWORTH ST, PORTLAND, OR 97217-4541
(503) 575-9402
(888) 769-4431
Mailing address
4619 SQUIRE CT NE, SALEM, OR 97301-2044
(413) 505-7786

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3488873
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
348873
OREGON STATE OCCUPATIONAL THERAPY LICENSURE
OR
Enumeration date
07/26/2016
Last updated
11/01/2018
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