Individual
DR. GRAHAM DOUGLAS SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21072 S MOUNTAIN MEADOW RD, BEAVERCREEK, OR 97004-7699
(503) 318-1996
Mailing address
21072 S MOUNTAIN MEADOW RD, BEAVERCREEK, OR 97004-7699
(503) 318-1996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6699
OR
Other
Enumeration date
08/17/2006
Last updated
09/09/2014
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