Shirley, Justin R.

Shirley, Justin R. is an individual health care provider with primary practice located at 5940 Ulali Dr Ne , Keizer OR 97303-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shirley, Justin R. can be contacted via phone (270) 798-8254.

Contact Information

Primary practice address
5940 Ulali Dr Ne Keizer OR 97303-1500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD217809 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01073652A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61478042 Washington

Profile Details

NPI number 1508111691
LBN Legal business name Shirley, Justin R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2012
Last updated Oct 13th, 2023 - about 2 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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