LEVI J.O. SHULL

SALEM, OR
NPI1407283500
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D9962)
Enumeration Date2013-10-03
Last Update Date2019-07-23
Business Address
LEVI J.O. SHULL D.M.D.
1211 LIBERTY ST SE
SALEM, OR 97302-4243
Phone number: 503-362-5019
Mailing Address
LEVI J.O. SHULL D.M.D.
6395 KEIZER STATION BLVD
SALEM, OR 97304
Phone number: