Individual
CHARLES SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 690-3600
(541) 664-3735
Mailing address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-1026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201042025RN
OR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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