Individual
SHELLEY G BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1937 W. HARVARD AVE., ROSEBURG, OR 97471-2720
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27795
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279152
—
OR
01
—
R141698
MEDICARE TPAN
OR
Enumeration date
03/09/2006
Last updated
09/18/2020
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