NPI 1104598697
Shannon Isabelle Vajretti, QMHA
Practice location
- Address
- 182 SW Academy St, Dallas, OR 97338-1996
- Phone
- (503) 623-9289
- Mailing address
- 5755 Red Leaf Dr S APT 110, Salem, OR 97306-3019
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1104598697
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Oct 2021
- Record last updated
- 28 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.