Search › Oregon › 1223G0001X
Shane Ellsworth, DMD
NPI 1639379522 · on the registry since 2007 · sole proprietor
Practice
- Address
- 704 Ne Evans St
Mcminnville, OR 97128 - Phone
- (503) 472-1404
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-06
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