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Individual

SHEILA MARGARET HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
849 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 479-0765
(541) 479-3461
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2517
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124094
OR
Enumeration date
03/09/2006
Last updated
11/07/2007
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