Individual
SHILOH B ERVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63360 NW BRITTA ST STE 1, BEND, OR 97701-9475
(541) 318-4845
Mailing address
1015 NE WATT WAY APT 2, BEND, OR 97701-6678
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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