Shelly Rae Fox
NPI #1619664711 in Grand Ronde, Oregon
Provider Information
- NPI Number
- 1619664711
- Entity Type
- Individual
- Name
- Shelly Rae Fox
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Apr 19, 2023
- Last Updated
- Apr 19, 2023
Practice Location
- Address
- 9615 GRAND RONDE RD
- City
- Grand Ronde
- State
- Oregon
- ZIP Code
- 97347-9712
- Phone
- (503) 879-2002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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