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Individual

SHAWNA LASHELL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9615 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-6709
Mailing address
9615 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-6709

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202206432RN
OR

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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