Individual
MRS. SUSAN SHEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2040 NW NEWCASTLE ST, ROSEBURG, OR 97471-1657
(541) 673-1808
(541) 673-2117
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2842
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269708
—
OR
01
—
297215
OMAP
OR
05
—
297215
—
OR
01
—
838414000
BCBS
OR
01
—
R194433
MEDICARE
OR
Enumeration date
04/04/2006
Last updated
07/21/2022
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