SearchOregon3104A0630X

Devona Shepard

NPI 1881295921 · on the registry since 2020 · sole proprietor

Practice

Address
312 Nw 9th St
Ontario, OR 97914
Phone
(208) 741-0741

Additional practice sites

  • 1030 Sw 8th Ave, Ontario, OR

Registry record

Primary taxonomy
3104A0630X
3104A0630X
Also registered as
3104A0630X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-31

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