Provider Demographics
NPI:1497036222
Name:SHOTTON, RETIRED, FRANCIS THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:THOMAS
Last Name:SHOTTON, RETIRED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:THOMAS
Other - Last Name:SHOTTON, RETIRED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1900 NW MC DOUGAL CIR
Mailing Address - Street 2:NONE. I AM RETIRED WITH ACTIVE LICENSE.
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-9825
Mailing Address - Country:US
Mailing Address - Phone:541-753-6428
Mailing Address - Fax:
Practice Address - Street 1:1900 NW MC DOUGAL CIR
Practice Address - Street 2:NONE. I AM RETIRED WITH ACTIVE LICENSE.
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-9825
Practice Address - Country:US
Practice Address - Phone:541-753-6428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology