Individual
MRS. SHANTELL MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 N FRANKLIN ST, SEASIDE, OR 97138-6455
(503) 717-7150
Mailing address
1655 N FRANKLIN ST, SEASIDE, OR 97138-6455
(503) 717-7150
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2000743508RN
OR
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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