Individual
DR. DAVID B SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 NW 11TH ST STE M103, HERMISTON, OR 97838-6941
(541) 667-3830
Mailing address
620 NW 11TH ST STE M201, HERMISTON, OR 97838-6941
(541) 289-4118
(541) 667-3484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD199547
OR
207Q00000X
Family Medicine Physician
MD2009-0628
NM
207Q00000X
Family Medicine Physician
MD60746432
WA
Other
Enumeration date
05/19/2006
Last updated
05/14/2021
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