Individual
SHEILA LYNN BODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 SW G ST, GRANTS PASS, OR 97526
(541) 476-2373
(541) 476-1526
Mailing address
221 W MAIN ST, MEDFORD, OR 97501-2728
(541) 955-7499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
06/22/2018
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