Individual
WHITNEY SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 8TH ST, MEDFORD, OR 97501-2912
(817) 933-6186
Mailing address
1140 W 8TH ST, MEDFORD, OR 97501-2912
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
PGP-0664430
VA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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