Individual
BRIELLE SHEPPEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503
(541) 773-3863
(541) 826-5843
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 773-3863
(541) 826-5843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217187
OR
Other
Enumeration date
04/03/2023
Last updated
09/15/2023
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