Iverson, Shawna Deanne
Iverson, Shawna Deanne is an individual health care provider with primary practice located at 290 Moyer Ln Nw , Salem OR 97304. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Iverson, Shawna Deanne can be contacted via phone (503) 370-8990.Contact Information
Primary practice address
290 Moyer Ln Nw
Salem OR 97304
Phone: (503) 370-8990
Fax: (503) 363-4214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1053130 | Oregon |
Profile Details
| NPI number | 1922085307 |
|---|---|
| LBN Legal business name | Iverson, Shawna Deanne |
| Credentials | MOT OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1922085307 | NPPES |
| Oregon | MEDICAID | 276082 |
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