Shawn Lee Tharp

NPI #1023524808 in Corvallis, Oregon

Provider Information

NPI Number: 1023524808
Entity Type: Individual
Name: Shawn Lee Tharp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 16, 2017
Last Updated: Dec 16, 2017

Practice Location

Address: 4455 NE HIGHWAY 20
City: Corvallis
State: Oregon
ZIP Code: 97330-9695
Phone: (541) 990-7108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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