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Individual

MRS. DANNA K NUGENT-SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2191 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 980-3381
Mailing address
120 KINGSGATE RD, LAKE OSWEGO, OR 97035-1367
(503) 713-7742

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1039473
OR

Other

Enumeration date
03/21/2008
Last updated
03/21/2008
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