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Shanelle Vega
NPI 1225472947 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3188 N Hwy 97 Ste 118
Bend, OR 97701 - Phone
- (541) 330-5503
- Fax
- (541) 330-5462
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Also registered as
- 237700000X
237700000X - Licence states on file
- OR, WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon