Shane Peterson, D.P.T

NPI 1336445535 · on the registry since 2011

Practice

Address: 3300 19th Avenue
Forest Grove, OR 97116
Phone: (503) 357-7119
Fax: (503) 992-2097
Organisation at this address: Senior Care Northwest
Marquis Companies Ii, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon