Individual provider · Type 1 NPI
Shannon Renae Wakem, OTR, CHT
Hand Occupational Therapist · Wilsonville, OR
NPI number
1710149786
Active
Practice location
8995 SW Miley Rd Ste 109
Wilsonville, OR 97070-5485
Fax (503) 694-8581
Mailing address
PO Box 965
Wilsonville, OR 97070-0965
Other practice locations
- 2217 Country Club Rd, Woodburn, OR 97071-2811 · (503) 982-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 1049473 (OR) |
| Hand Occupational Therapist Primary | 225XH1200X | 1049473 (OR) |
Hand Occupational Therapist: Definition to come...
About NPI 1710149786
Shannon Renae Wakem, OTR, CHT's National Provider Identifier is 1710149786, issued on Jun 30, 2008. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Wilsonville, OR. The record was last updated on Oct 30, 2021.