Shannon Leann Wilson in Portland - Physical Therapist
Shannon Leann Wilson - NPI 1841400074
Shannon Leann Wilson is a Physical Therapist in Portland, Oregon. Shannon Leann Wilson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon Leann Wilson is 1841400074. The last update date is 2007-07-08.
Shannon Leann Wilson's current location address is 4805 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032156059 and fax number 5032156394. The mailing address for Shannon Leann Wilson is 4805 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Leann Wilson |
|---|---|
| Address | 4805 Ne Glisan St, Portland, Oregon |
| Phone Number | 5032156059 |
| Fax Number | 5032156394 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1841400074 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4805 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132933 |
| Phone Number | 5032156059 |
| Fax Number | 5032156394 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5187 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identification code assigned to Shannon Leann Wilson by the Centers for Medicare & Medicaid Services?
The Shannon Leann Wilson has been issued the NPI (National Provider Identifier) 1841400074, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon Leann Wilson located?
The Shannon Leann Wilson is located at 4805 Ne Glisan St, Portland, OR 972132933.
What is the Shannon Leann Wilson's area of specialization and corresponding taxonomy classification?
The Shannon Leann Wilson's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Shannon Leann Wilson receive its 1841400074 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Leann Wilson was assigned its 1841400074 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the Shannon Leann Wilson's details last updated?
The information pertaining to the Shannon Leann Wilson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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