Shane E Baze, PT
Physical Therapist in Springfield, Oregon
1629317706- Practice location
- 2728 Pheasant Blvd, Suite 100, Springfield, OR 97477-7509
- Phone
- 541-736-8870
- Fax
- 541-736-8860
- Last updated
- November 14, 2013
Shane E Baze, PT is a Physical Therapist based in Springfield, OR. Shane E Baze, PT holds the professional credentials of PT. The NPI number for Shane E Baze, PT is 1629317706 and holds license No. 60057 (OR). The current practice location address is 2728 Pheasant Blvd, Suite 100, Springfield, OR 97477-7509 and the office can be reached by phone at 541-736-8870 and by fax at 541-736-8860. The NPI was assigned on February 8, 2013 and the record was last updated in NPPES on November 14, 2013.
●Provider Profile Details
- NPI Number
- 1629317706
- Provider Name
- Shane Emerson Baze
- Credential
- PT
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Enumeration Date
- February 8, 2013
- Last Update Date
- November 14, 2013
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2728 Pheasant Blvd
Suite 100
Springfield, OR 97477-7509 - City
- Springfield
- State
- Oregon
- ZIP
- 97477-7509
- Country
- US
- Phone Number
- 541-736-8870
- Fax Number
- 541-736-8860
✉Business Mailing Address
- Address
- 16083 SW Upper Boones Ferry RD
Suite 300
Tigard, OR 97224-7736 - City
- Tigard
- State
- OR
- ZIP
- 97224-7736
- Phone Number
- 800-219-8835
- Fax Number
- 503-639-9699
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 60057 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Springfield →?Frequently Asked Questions
What is the NPI number of Shane E Baze, PT?
The NPI number of Shane E Baze, PT is 1629317706. It was assigned on February 8, 2013 and is currently active in the NPPES registry.
What is the specialty of Shane E Baze, PT?
Shane E Baze, PT is registered under the primary taxonomy Physical Therapist (code 225100000X) and holds license No. 60057 (OR).
Where does Shane E Baze, PT practice?
The practice location is 2728 Pheasant Blvd, Suite 100, Springfield, OR 97477-7509. The office can be reached at 541-736-8870 (phone) or 541-736-8860 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629317706 directly on the NPPES registry website at npiregistry.cms.hhs.gov.