Provider Demographics
NPI:1316214067
Name:SHAWNA LEE HASEL
Entity Type:Organization
Organization Name:SHAWNA LEE HASEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HASEL
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:541-296-0006
Mailing Address - Street 1:818 W 6TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-1147
Mailing Address - Country:US
Mailing Address - Phone:541-296-0006
Mailing Address - Fax:541-296-4251
Practice Address - Street 1:818 W 6TH ST STE 1
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-1147
Practice Address - Country:US
Practice Address - Phone:541-296-0006
Practice Address - Fax:541-296-4251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1410175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty