Shepherd, Samuel
Shepherd, Samuel is an individual health care provider with primary practice located at 24076 Se Stark St Ste 200 , Gresham OR 97030-3376. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Shepherd, Samuel can be contacted via phone (503) 491-1666.Contact Information
Primary practice address
24076 Se Stark St Ste 200
Gresham OR 97030-3376
Phone: (503) 491-1666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1568925287 |
|---|---|
| LBN Legal business name | Shepherd, Samuel |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2019 |
| Last updated | Jan 3rd, 2022 - about 4 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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