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Mr. Shane C. Wibel, ATC
Specialist in Salem, Oregon
NPI 1538250121

Shane C. Wibel is a Specialist based in Salem, OR. Shane C. Wibel practices in Salem, OR and has the professional credentials of ATC. The NPI Number for Shane C. Wibel is 1538250121 and holds a License No. 055276 (Oregon).

The current practice location address for Shane C. Wibel is 900 State St, Salem, OR and can be reached out via phone at 503-370-6672.

Location: 900 State St, Salem, OR, 97301-3922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538250121
Provider Name
Shane C. Wibel
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
900 State St, Salem, OR, 97301-3922
Phone Number
503-370-6672
Fax Number
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
900 State St
City
Salem
State
Oregon
Zip
97301-3922
Phone Number
503-370-6672
Fax Number
person
Provider Business Mailing Address Details
Address
900 State St
City
Salem
State
Oregon
Zip
97301-3922
Phone Number
503-370-6672
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
055276 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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