Individual
WILLARD SHEPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
614 27TH AVE SE, ALBANY, OR 97322-4165
(541) 760-9670
Mailing address
614 27TH AVE SE, ALBANY, OR 97322-4165
(541) 760-9670
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150425
OR
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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