Wakem, Shannon Renae

Wakem, Shannon Renae is an individual health care provider with primary practice located at 8995 Sw Miley Rd Ste 109 , Wilsonville OR 97070-5485. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Wakem, Shannon Renae can be contacted via phone (503) 694-8366.

Contact Information

Primary practice address
8995 Sw Miley Rd Ste 109 Wilsonville OR 97070-5485
Phone: (503) 694-8366
Fax: (503) 694-8581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1049473 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 1049473 Oregon

Profile Details

NPI number 1710149786
LBN Legal business name Wakem, Shannon Renae
Credentials OTR, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Oct 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710149786 NPPES
Oregon MEDICAID 297902

Popular Providers