Individual
SHAYNA RENE RUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 CAPITOL ST NE, SALEM, OR 97301-7845
(503) 877-2815
Mailing address
4748 LIBERTY RD S APT 208, SALEM, OR 97302-5189
(520) 833-8810
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000104705
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000104705
—
OR
Enumeration date
03/25/2021
Last updated
03/25/2021
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