Individual
SHAWNNA DEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 779-1282
Mailing address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 779-1282
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
374J00000X
Doula
Primary
111361
OR
Other
Enumeration date
04/23/2025
Last updated
01/07/2026
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