Individual
SHAWNA MARIE USHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 S COWLEY ST, SPOKANE, WA 99202-1377
(509) 624-3227
(509) 835-4272
Mailing address
30 N RUBY ST SPC 8, ROCKFORD, WA 99030-5002
(509) 868-3811
(509) 835-4272
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60825696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60825696
STATE REGISTRATION
WA
Enumeration date
10/10/2018
Last updated
10/10/2018
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