Search › Oregon › 176B00000X
Shawna Kelly-Wickersheim, CPM
NPI 1528499001 · on the registry since 2013 · sole proprietor
Practice
- Address
- 591 Ne 2nd St
Prineville, OR 97754 - Phone
- (541) 550-6200
- Fax
- (541) 447-4118
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Sex
- Female
- Record last updated
- 2013-12-09
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