Healthcare Provider Details

I. General information

NPI: 1164734539
Provider Name (Legal Business Name): SHEER MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 07/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 NW F ST STE C
GRANTS PASS OR
97526-1838
US

IV. Provider business mailing address

903 NW F ST STE C
GRANTS PASS OR
97526-1838
US

V. Phone/Fax

Practice location:
  • Phone: 541-472-5000
  • Fax: 541-472-5177
Mailing address:
  • Phone: 541-472-5000
  • Fax: 541-472-5177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER GARNER WORTHINGTON
Title or Position: OWNER
Credential:
Phone: 541-472-5000