Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanette Bruce Owen

Individual provider Family Medicine Physician · NPI 1629430228

Shanette Bruce Owen is a Family Practice in Kennewick, Washington. Qualified in 2018, 8 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2016
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Practice location Address checks out

6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Phone: (509) 543-9280
Fax: (509) 579-5915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OL60849496 (WA)

Record details

NPI number1629430228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kennewick