SHAYLENE TAMARA WAGGONER

GRESHAM, OR
NPI1669017513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201905089RN)
Enumeration Date2019-11-14
Last Update Date2019-11-14
Business Address
SHAYLENE TAMARA WAGGONER BSN, RN
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-666-6575
Mailing Address
SHAYLENE TAMARA WAGGONER BSN, RN
12207 NE 116TH ST
VANCOUVER, WA 98682-2040
Phone number: 480-268-3933
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