Individual
SHANA LEE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
Mailing address
73424 BURKE ROAD, BOX B4, CAYUSE, OR 97821
(541) 276-3626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096000550 RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
10/03/2006
Last updated
09/29/2022
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