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Search › Oregon › 225200000X

Kirk Shea

NPI 1619485406 · on the registry since 2018 · sole proprietor

Practice

Address
91 Aries Ln
La Grande, OR 97850
Phone
(541) 963-8678
Organisation at this address
La Grande Snf Operations, Llc
Evergreen Oregon Healthcare Mountain Vista,L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon