Search › Oregon › 101YA0400X
Ernst Shadbolt, CADC I
NPI 1639536691 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2064 Se Douglas Ave
Roseburg, OR 97470 - Phone
- (541) 673-5119
- Fax
- (541) 957-3734
- Organisation at this address
- Adapt
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-21
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