Individual
SHELBY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
945 SE UGLOW AVE, DALLAS, OR 97338-2642
(503) 837-1762
Mailing address
1270 PICTURE ST, INDEPENDENCE, OR 97351-9645
(971) 901-1020
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112880
OR
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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