Sendelback, Shoneen S

Sendelback, Shoneen S is an individual health care provider with primary practice located at 1907 Mountain View Ln Suite 400, Forest Grove OR 97116-2274. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sendelback, Shoneen S can be contacted via phone (503) 357-2158.

Contact Information

Primary practice address
1907 Mountain View Ln Suite 400 Forest Grove OR 97116-2274
Phone: (503) 357-2158
Fax: (503) 357-0248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6976 Oregon

Profile Details

NPI number 1962486142
LBN Legal business name Sendelback, Shoneen S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962486142 NPPES
Oregon Other 1638358 UNITED CONCORDIA

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