Individual
MRS. SHELLY JEAN DUBISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 MCPHERSON ST STE 2, NORTH BEND, OR 97459-3482
(541) 751-2549
(541) 751-2660
Mailing address
1975 MCPHERSON ST STE 2, NORTH BEND, OR 97459-3482
(541) 751-2549
(541) 751-2660
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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