Individual
DR. SHAWN MICHAEL SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 E MCANDREWS RD, MEDFORD, OR 97504-6107
(541) 773-1435
(541) 858-6828
Mailing address
2925 SISKIYOU BLVD, MEDFORD, OR 97504
(541) 773-1435
(541) 858-6828
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD25091
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD25091
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269619
—
OR
Enumeration date
07/20/2005
Last updated
02/17/2023
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