Individual
SHAWNA A REW-BLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
082010277RN
OR
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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