SHANE SCAMAHORN

KETCHIKAN, AK
NPI1376357657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2025-02-05
Last Update Date2025-02-05
Business Address
SHANE SCAMAHORN
435 WASHINGTON ST
KETCHIKAN, AK 99901-5935
Phone number: 509-290-2461
Mailing Address
SHANE SCAMAHORN
721 STEDMAN ST
KETCHIKAN, AK 99901-6632
Phone number: 907-225-7825