SHANE LODDER

ENTERPRISE, OR
NPI1780469502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-08-29
Last Update Date2023-08-29
Business Address
SHANE LODDER
606 MEDICAL PKWY
ENTERPRISE, OR 97828-5140
Phone number: 541-426-4524
Mailing Address
SHANE LODDER
106 W ALDER ST
ENTERPRISE, OR 97828-1512
Phone number: 509-386-9550