NPI 1467754945

Steven C Shallow, CPO

Practitioner Prosthetist Corvallis, OR

Practice location

Address: 400 NW Walnut Blvd STE 100, Corvallis, OR 97330-3800
Phone: (541) 757-8543

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1467754945
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2010
Record last updated: 3 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.