Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE C. WIBEL, ATC
Active Sole ProprietorSpecialist · SALEM, OR
Registration Details
- NPI Number
- 1538250121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2006 (19.587967051866 yrs)
- Last Updated
- Jul 8, 2007
- License
-
055276 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 STATE STWILLAMETTE UNIVERSITY ATHLETICSSALEM, OR, 973013922Browse OR providers · Browse ZIP 97301
- Phone
- 5033706672
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM NISBET | M.D. | 1750317293 |
| DR. BRIAN GUMBS | MD | 1194732552 |
| DR. CHARLES DUANE MCGEE | MD | 1124138698 |
| DR. HOWARD W TSANG | M.D., M.P.H. | 1811093214 |
| WAYNE FAGIN | LMT | 1649353541 |
| WALTER H WHITMAN | M.D. | 1386722395 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.