Individual
DAWN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
875 WASSOM ST, LEBANON, OR 97355-1169
(541) 990-9287
Mailing address
875 WASSOM ST, LEBANON, OR 97355-1169
(541) 990-9287
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
349597
OR
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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