Individual
DR. SHAWNA NICHOLE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6444 NW EXPRESSWAY, SUITE 828A, OKLAHOMA CITY, OK 73132-5131
(405) 470-6415
(405) 470-6417
Mailing address
1132 PROVIDENCE CT, EDMOND, OK 73003-6155
(918) 557-6299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4011
OK
Other
Enumeration date
03/11/2011
Last updated
07/09/2013
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