Shawna Rebecca Clark

NPI #1174191282 in North Bend, Oregon

Provider Information

NPI Number
1174191282
Entity Type
Individual
Name
Shawna Rebecca Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Jun 15, 2021
Last Updated
Jun 15, 2021

Practice Location

Address
400 VIRGINIA AVE STE 201
State
Oregon
ZIP Code
97459-3444
Phone
(541) 751-0357

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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