Individual
SHAWNA KIRKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
647 W LUELLEN DR STE 3, ROSEBURG, OR 97471-2661
(541) 342-5088
Mailing address
PO BOX 1424, MYRTLE CREEK, OR 97457-0136
(541) 391-1350
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
201041666RN
OR
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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