Individual provider · Type 1 NPI
Sheffie Dan Surber Jr., LPN
Mental Health Counselor · Pendleton, OR
NPI number
1740819002
Active
Practice location
2575 Westgate Bldg 13
Pendleton, OR 97801-9613
Fax (541) 429-8720
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 20030441LPN (OR) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1740819002
Sheffie Dan Surber Jr., LPN's National Provider Identifier is 1740819002, issued on Apr 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pendleton, OR. The record was last updated on Apr 9, 2020.