SHANE LAROY SHELTON

SALEM, OR
NPI1235957853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OR  10028471)
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
MR. SHANE LAROY SHELTON PMHNP
880 COMMERCIAL ST SE
SALEM, OR 97302-4108
Phone number: 541-409-4066
Mailing Address
MR. SHANE LAROY SHELTON PMHNP
880 COMMERCIAL ST SE
SALEM, OR 97302-4108
Phone number: 541-409-4066
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