Individual
CHEYENE SHANENDOAH ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29845 AIRPORT WAY, GOLD BEACH, OR 97444-9744
(541) 373-1745
Mailing address
29845 AIRPORT WAY, GOLD BEACH, OR 97444
(541) 373-1745
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
11/23/2022
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