Individual
MR. FREDRICK FRANCIS SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
21550 NE KINGS GRADE, NEWBERG, OR 97132-6519
(503) 310-6765
Mailing address
21550 NE KINGS GRADE, NEWBERG, OR 97132-6519
(503) 310-6765
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8024
OR
174400000X
Specialist
MA 00016730
WA
Other
Enumeration date
02/01/2010
Last updated
12/21/2010
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