Individual
SHELBY Y LEGROTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
1981 MOHAWK ST, ASHLAND, OR 97520-3553
(541) 841-4142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202107156NP-PP
OR
Other
Enumeration date
05/11/2021
Last updated
12/14/2024
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