Search › Idaho › 207P00000X
Raina Shanks, D.O
NPI 1417008475 · on the registry since 2007
Practice
- Address
- 2003 Kootenai Health Way Fl Center1
Coeur D Alene, ID 83814 - Phone
- (208) 625-5700
- Fax
- (208) 625-5708
- Organisation at this address
- Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 235
Additional practice sites
- 655 W 8th St # C506, Jacksonville, FL
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- TN, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-22
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 Idaho