Individual
DANA RAE SHIBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDEM
Contact information
Practice address
37010 SE SNUFFIN RD, ESTACADA, OR 97023-8760
(503) 789-3145
Mailing address
37010 SE SNUFFIN RD, ESTACADA, OR 97023-8760
(503) 789-3145
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-1004924
OR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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