Individual
MS. SHAWNA MARIE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
2326 SW GLACIER PL, REDMOND, OR 97756-7626
(541) 516-0669
(541) 316-8959
Mailing address
2326 SW GLACIER PL, REDMOND, OR 97756-7626
(541) 516-0669
(541) 316-8959
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
114874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114874
THW
OR
Enumeration date
09/13/2025
Last updated
09/13/2025
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