Individual
HANNAH O SHALLICE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4242 COMMERCE, STE A TAI WEST EUGENE PHYSICAL THERAPY, EUGENE, OR 97402-5418
(541) 484-9632
(541) 484-7466
Mailing address
11481 SW HALL BV, STE 201 THERAPEUTIC ASSOCIATES INC, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3703
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228758
—
OR
Enumeration date
12/02/2005
Last updated
07/08/2007
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