Individual
SHAWNA PILCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 NW 21ST ST, MCMINNVILLE, OR 97128-2524
(503) 602-0725
Mailing address
430 NW 21ST ST, MCMINNVILLE, OR 97128-2524
(503) 602-0725
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0000642
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW0000642
THW0000642
OR
Enumeration date
06/28/2016
Last updated
06/28/2016
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