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1861076317
SHELBY Y FORD
MEDFORD, OR
NPI
1861076317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202107156NP-PP)
Enumeration Date
2021-05-11
Last Update Date
2021-10-08
Business Address
SHELBY Y FORD FNP
70 BOWER DR
MEDFORD, OR 97501-3689
Phone number: 541-734-3430
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Mailing Address
SHELBY Y FORD FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-734-3430
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