Individual
SHAUNA QUEAHPAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
850 SW 4TH ST STE 100, MADRAS, OR 97741-9629
(541) 475-6575
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 233-3421
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-3080
OR
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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