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Individual

MICHELLE KAY KERSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
120-C N EVEREST RD, NEWBERG, OR 97132-2116
(503) 538-8952
(503) 537-2027
Mailing address
7348 SW 204TH #3, ALOHA, OR 97007-7946
(503) 642-7401

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5450
OR

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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