Mccormick, Shanda Ailene
Mccormick, Shanda Ailene is an individual health care provider with primary practice located at 13470 Sw Farmington Rd , Beaverton OR 97005-2618. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mccormick, Shanda Ailene can be contacted via phone (503) 644-3311.Contact Information
Primary practice address
13470 Sw Farmington Rd
Beaverton OR 97005-2618
Phone: (503) 644-3311
Fax: (503) 627-0112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4675 | Oregon |
Profile Details
| NPI number | 1932181062 |
|---|---|
| LBN Legal business name | Mccormick, Shanda Ailene |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Nov 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932181062 | NPPES |
| Oregon | MEDICAID | 299951 |
Popular Providers
-
Jackson, Jan Leslie
13470 Sw Farmington Rd , Beaverton OR 97005-2618 -
Isler, Robert Carl
12345 Sw Horizon Blvd Ste 57 , Beaverton OR 97007-9475 -
Morimatsu, Kent Tsuruo
735 Sw 158Th Ave Suite 160, Beaverton OR 97006-4952 -
Betters, Todd Anthony
14795 Sw Murray Scholls Dr Ste 109 , Beaverton OR 97007-9230 -
Compton-Griffith, Kelsi N
1380 Nw Lancashire Ct , Beaverton OR 97006-3314 -
Hulleman, Tracy E
12345 Sw Horizon Blvd Ste 57 , Beaverton OR 97007-9475 -
Simpson, Brad
3786 Sw Hall Blvd Suite160, Beaverton OR 97005-2050 -
Cenova, James Joseph
16265 Nw Cornell Rd Suite 100, Beaverton OR 97006-4868