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Michele Shivack, PT,ATC
Orthopedic Physical Therapist in Portland, Oregon
NPI 1184962128

Michele Shivack is a Orthopedic Physical Therapist based in Portland, OR and is specialized in Orthopedic. Michele Shivack practices in Portland, OR and has the professional credentials of PT,ATC. The NPI Number for Michele Shivack is 1184962128 and holds a License No. 4108 (Oregon).

The current practice location address for Michele Shivack is 11782 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-906-4323 and via fax at 503-906-4333.

Location: 11782 Sw Barnes Rd, Portland, OR, 97225-5914
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Provider Profile Details
NPI Number
1184962128
Provider Name
Michele Shivack
Credential
PT,ATC
Provider Entity Type
Individual
Gender
Female
Address
11782 Sw Barnes Rd, Portland, OR, 97225-5914
Phone Number
503-906-4323
Fax Number
503-906-4333
Provider Enumeration Date
01/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04108 01 OR LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
11782 Sw Barnes Rd
City
State
Zip
97225-5914
Phone Number
503-906-4323
Fax Number
503-906-4333
person
Provider Business Mailing Address Details
Address
11782 Sw Barnes Rd
City
State
Zip
97225-5914
Phone Number
503-906-4323
Fax Number
503-906-4333
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
License No.
04108 (Oregon)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
4108 (Oregon)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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