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Organization

SHELDON MEDICAL LLC

Active
Other names
Southwest Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELODY SHELDON M.A. (SPEECH PATHOLOGIST)
(541) 267-5221
Entity
Organization

Contact information

Practice address
490 N 2ND ST, SUITE C, COOS BAY, OR 97420-2370
(541) 267-5221
(541) 267-5221
Mailing address
490 N 2ND ST, SUITE C, COOS BAY, OR 97420-2370
(541) 267-5221
(541) 267-5221

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
10886
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047063
OR
05
089037
OR
Enumeration date
05/09/2008
Last updated
08/14/2009
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