Individual
SHELLY W HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
2679 EASTOVER TER, MEDFORD, OR 97504-6930
(541) 601-5534
Mailing address
2679 EASTOVER TER, MEDFORD, OR 97504-6930
(541) 601-5534
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2789
OR
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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