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Carol Ann Shu
Student in an Organized Health Care Education/Training Program in Monroe, Oregon
NPI 1982130597

Carol Ann Shu is a Student in an Organized Health Care Education/Training Program based in Monroe, OR. Carol Ann Shu practices in Monroe, OR. The NPI Number for Carol Ann Shu is 1982130597 and holds a License No. PI-0011769 (Oregon).

The current practice location address for Carol Ann Shu is 610 Dragon Dr, Monroe, OR and can be reached out via phone at 541-847-5143.

Location: 610 Dragon Dr, Monroe, OR, 97456-9604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982130597
Provider Name
Carol Ann Shu
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 Dragon Dr, Monroe, OR, 97456-9604
Phone Number
541-847-5143
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
610 Dragon Dr
City
Monroe
State
Oregon
Zip
97456-9604
Phone Number
541-847-5143
Fax Number
person
Provider Business Mailing Address Details
Address
610 Dragon Dr
City
Monroe
State
Oregon
Zip
97456-9604
Phone Number
541-847-5143
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PI-0011769 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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