| Michele Shivack, PT,ATC | |
|
11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | |
| (503) 906-4323 | |
| (503) 906-4333 |
| Full Name | Michele Shivack |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 11782 Sw Barnes Rd, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184962128 | NPI | - | NPPES |
| 04108 | Other | OR | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | 4108 (Oregon) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 04108 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Shivack, PT,ATC 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 Ph: (503) 906-4323 | Michele Shivack, PT,ATC 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 Ph: (503) 906-4323 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |