Individual
SHAWN L PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
110 MAIN ST, MORO, OR 97039-3115
(541) 565-3325
(541) 565-3617
Mailing address
PO BOX 186, MORO, OR 97039-0186
(541) 565-3325
(541) 565-3617
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
104482
OR
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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