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Individual

SHAWNA CANAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 BROADWAY ST NE, SUITE 403, SALEM, OR 97301-1420
(503) 385-7065
Mailing address
1300 BROADWAY ST NE, SUITE 403, SALEM, OR 97301-1420
(503) 385-7065

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
TWH0562
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TWH0562
TRADITIONAL HEALTH WORKER
OR
Enumeration date
06/15/2016
Last updated
06/15/2016
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