SHANETTE BRUCE OWEN
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1629430228- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6351 W RIO GRANDE AVE, KENNEWICK, WA, 993367634
- Phone
- (509) 543-9280
- Fax
- (509) 579-5915
Specialties & Taxonomies
Family Medicine
Primary License: WA #OL60849496