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Individual

SHELBY ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1498 SE TECH CENTER PL, SUITE 240, VANCOUVER, WA 98683-9591
(360) 597-1309
Mailing address
1498 SE TECH CENTER PL, VANCOUVER, WA 98683-9591
(503) 494-3633

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179810
OR
363A00000X
Physician Assistant
PA60705470
WA

Other

Enumeration date
05/18/2015
Last updated
02/09/2018
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