Grimes, Shawn Christopher

Grimes, Shawn Christopher is an individual health care provider with primary practice located at 283 Nw Miller Ave , Gresham OR 97030-7260. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Grimes, Shawn Christopher can be contacted via phone (503) 666-7644.

Contact Information

Primary practice address
283 Nw Miller Ave Gresham OR 97030-7260
Phone: (503) 666-7644
Fax: (503) 674-9980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8118 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 60017 Oregon

Profile Details

NPI number 1609856756
LBN Legal business name Grimes, Shawn Christopher
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated May 13th, 2016 - about 10 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 1609856756 NPPES
Oregon MEDICAID 500699445
Oregon Other 990070610

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