Individual
DEBRA SHORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-7555
Mailing address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60731
OR
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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