Individual
SHANA LORRAINE VERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-5722
(503) 325-8483
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
(503) 325-8483
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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