Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON RENAE WAKEM, OTR, CHT
ActiveSHANNON RENAE WAKEM, OTR, CHT is a Hand Occupational Therapist healthcare provider located in WILSONVILLE, Oregon. NPI 1710149786 is currently active in the NPPES registry. Verify at CMS.
Hand Occupational Therapist · WILSONVILLE, OR
Registration Details
- NPI Number
- 1710149786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2008 (18.080766549621 yrs)
- Last Updated
- Oct 30, 2021
- Licenses
-
1049473 (OR)1049473 (OR)
Practice Information
- Address
-
8995 SW MILEY RD STE 109WILSONVILLE, OR, 970705485Browse OR providers · Browse ZIP 97070
- Phone
- 5036948366
- Fax
- 5036948581
- Primary Specialty
-
Hand Occupational Therapist
225XH1200X
- Additional Specialty
- Hand Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.