Individual
SHANNON MCKEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 SW EMKAY DR, BEND, OR 97702-1010
(541) 204-1757
Mailing address
62898 BILYEU WAY, BEND, OR 97701-7024
(773) 558-0056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18167
OR
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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