Sherden, David James

Sherden, David James is an individual health care provider with primary practice located at 5405 Se Woodward St , Portland OR 97206-2168. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Sherden, David James can be contacted via phone (503) 916-5140.

Contact Information

Primary practice address
5405 Se Woodward St Portland OR 97206-2168
Phone: (503) 916-5140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-AT-749767 Oregon

Profile Details

NPI number 1013034875
LBN Legal business name Sherden, David James
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013034875 NPPES
Oregon Other AT-AT-749767 STATE LICENSE NUMBER

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