Individual
QUINCY SHORTHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8915 SW NORDIC DR, TIGARD, OR 97223-7091
(857) 939-1560
Mailing address
8915 SW NORDIC DR, TIGARD, OR 97223-7091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05391
OR
Other
Enumeration date
05/10/2007
Last updated
08/06/2014
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