Individual
SHELLI CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 677-4845
Mailing address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 677-4845
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
201042095
OR
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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