Individual
SHIRLEY DAINE HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
(541) 942-9310
Mailing address
1345 BIRCH AVE, P.O. BOX 5, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
(541) 942-9310
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OR
172V00000X
Community Health Worker
—
OR
175T00000X
Peer Specialist
Primary
—
OR
224Z00000X
Occupational Therapy Assistant
1028905
OR
Other
Enumeration date
11/15/2006
Last updated
02/19/2016
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