Shelly Rae Fox
Shelly Rae Fox is a Peer Specialist in Grand Ronde, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
9615 Grand Ronde RdGrand Ronde, OR 97347-9712
Phone: (503) 879-2002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000108778 (OR) |
|---|
Record details
| NPI number | 1619664711 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 19, 2023 |
| Last updated in NPPES | April 19, 2023 |
| Certification date | April 19, 2023 |
| Mailing address | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 |
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Sydney Clark
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