Individual
SHALAMAR EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 FRIENDLY ST, EUGENE, OR 97405-2254
(541) 852-0959
Mailing address
665 W 29TH PL, EUGENE, OR 97405-2507
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
12069
OR
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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