Individual
JERRY L SHARPE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 237-5171
(541) 479-2370
Mailing address
254 GUNNELL RD, GRANTS PASS, OR 97526-9621
(541) 441-0716
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
175T00000X
Peer Specialist
Primary
—
OR
247000000X
Health Information Technician
—
—
Other
Enumeration date
08/08/2018
Last updated
05/08/2019
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