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Contact Information

FREDRICK F SHIPLEY, LMT
21550 NE KINGS GRADE
NEWBERG, OR97132-6519
 Phone: 503-310-6765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for FREDRICK F SHIPLEY · (Male)

NPI Number 1205168234
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/01/2010
Last updated 12/21/2010 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 8024
  • WA License # MA 00016730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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