Individual
SHANNON ARLENE WYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
215 SW 7TH ST, REDMOND, OR 97756-2113
(541) 388-8459
(541) 388-8116
Mailing address
215 SW 7TH ST, REDMOND, OR 97756-2113
(541) 388-8459
(541) 388-8116
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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