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Individual

DR. SHAINA ALEXANDRA YECHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO203991
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500794137
OR
Enumeration date
06/11/2018
Last updated
08/04/2021
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