Individual
SHAQUANNA DRAYTON DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
111 SW NAITO PKWY STE 200, PORTLAND, OR 97204-3512
(704) 604-8343
Mailing address
111 SW NAITO PKWY STE 200, PORTLAND, OR 97204-3512
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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