Individual
MS. SHARON DENISON DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1605 GEORGE JACKSON RD, MAUPIN, OR 97037-9208
(541) 395-2911
(541) 395-2912
Mailing address
1292 HIGH ST, STE 224, EUGENE, OR 97401-3238
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00762
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500606326
—
OR
Enumeration date
11/26/2005
Last updated
03/30/2020
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