Individual
MARY EILEEN SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
2333 PACIFIC AVE, FOREST GROVE, OR 97116
(503) 359-6145
(503) 359-6919
Mailing address
51142 N W STROHMAYER RD, FOREST GROVE, OR 97116
(971) 970-5537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7632
OR
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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