Individual
SHANNON RENAE WAKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
8995 SW MILEY RD STE 109, WILSONVILLE, OR 97070-5485
(503) 694-8366
(503) 694-8581
Mailing address
PO BOX 965, WILSONVILLE, OR 97070-0965
(503) 694-8366
(503) 694-8581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1049473
OR
225XH1200X
Hand Occupational Therapist
Primary
1049473
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297902
—
OR
Enumeration date
06/30/2008
Last updated
10/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us