Individual
MRS. GLORIA LALATA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4592
(503) 588-5342
(503) 588-5353
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4592
(503) 588-5342
(503) 588-5353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200140002RN
OR
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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