SearchOregon124Q00000X

Sheila Blacketer, RDH

NPI 1861630808 · on the registry since 2009 · sole proprietor

Practice

Address
700 53rd Ave Nw
Salem, OR 97304
Phone
(503) 871-5214

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-01-29

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