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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
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112880
OR

Other

Enumeration date
12/30/2024
Last updated
06/03/2026
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