Individual
SHERI ANN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
155 SW CENTURY DR, SUITE 100, BEND, OR 97702-1657
(541) 322-9045
(541) 322-9044
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5907
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059333037
REGENCE BLUE CROSS
OR
Enumeration date
05/20/2009
Last updated
06/17/2009
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