SearchOregon225700000X

Shyla Colovos

NPI 1659886406 · on the registry since 2017 · sole proprietor

Practice

Address
320 N Main St Ste 200
Prineville, OR 97754
Phone
(541) 633-0375
Fax
(541) 633-0375
Clinicians at this address
3

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-01

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