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Grady Shaver, DMD

NPI 1093049306 · on the registry since 2009

Practice

Address
73265 Confederated Way
Pendleton, OR 97801
Phone
(541) 966-9830
Fax
(541) 278-7590
Clinicians at this address
58

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon