Individual
JUSTIN M SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 779-1282
(541) 779-2081
Mailing address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7140
(541) 326-4918
(541) 608-2888
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-CRM-425
OR
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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