Individual
SHANNON RINEFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
521 N MAIN ST, ASHLAND, OR 97520-1707
(541) 488-2213
(541) 488-1885
Mailing address
100 E MAIN ST, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5526
(541) 789-5203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
998706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181635
—
OR
Enumeration date
03/02/2007
Last updated
07/08/2007
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