Shantell Boulware
Shantell Boulware is a Case Manager/Care Coordinator in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2015.
- Licensed in
- OR
- In the registry since
- 2015
Practice location Address checks out
272 NW Medical Loop Ste ERoseburg, OR 97471-5545
Phone: (541) 440-3532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (OR) |
|---|
Record details
| NPI number | 1659761435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 30, 2015 |
| Last updated in NPPES | January 30, 2015 |
| Mailing address | 272 Nw Medical Loop Ste E, Roseburg, OR 97471-5545 |
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Robert Botkin, AA
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