Individual
SHANON MARJEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 NW WALL ST, BEND, OR 97703-2608
(541) 213-9515
Mailing address
520 NW WALL ST, BEND, OR 97703-2608
(541) 213-9515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00097562RN
OR
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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