Individual
ALVA REED SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 221-0161
(503) 452-3208
Mailing address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 221-0161
(503) 452-3208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4013
OR
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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