Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane C. Wibel, ATC

Individual provider Specialist · NPI 1538250121

Mr. Shane C. Wibel, ATC is a Specialist in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

900 State St Willamette University Athletics
Salem, OR 97301-3922
Phone: (503) 370-6672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 055276 (OR)

Record details

NPI number1538250121
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address900 State St, Willamette University Athletics, Salem, OR 97301-3922

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