Individual
SHAWN GLIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/01/2017
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