SHANE BAXTER

MEDFORD, OR
NPI1306779111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D12341)
Enumeration Date2026-06-03
Last Update Date2026-06-05
Business Address
SHANE BAXTER
1113 PROGRESS DR
MEDFORD, OR 97504-5201
Phone number: 541-535-6239
Mailing Address
SHANE BAXTER
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: