Individual
SHELLEY GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
998 LIBRARY CT, OREGON CITY, OR 97045-4041
(503) 655-8476
(503) 655-8387
Mailing address
998 LIBRARY CT, OREGON CITY, OR 97045-4041
(503) 655-8476
(503) 655-8387
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
OR
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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