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Contact Information

SHAWNA D IVERSON, MOT OTR L
290 MOYER LN NW
SALEM, OR97304
 Phone: 503-370-8990
 Fax: 503-363-4214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHAWNA D IVERSON · (Female)

NPI Number 1922085307
Status Active
Credentials MOT OTR L
Entity Individual
Enumeration date 12/28/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 1053130
  • OR Medicaid 276082
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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