Provider Demographics
NPI:1760723126
Name:STRUBHAR, SHANNON MARIE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:MARIE
Last Name:STRUBHAR
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38959 HIGHWAY 228
Mailing Address - Street 2:
Mailing Address - City:SWEET HOME
Mailing Address - State:OR
Mailing Address - Zip Code:97386-9640
Mailing Address - Country:US
Mailing Address - Phone:541-367-6092
Mailing Address - Fax:
Practice Address - Street 1:38959 HIGHWAY 228
Practice Address - Street 2:
Practice Address - City:SWEET HOME
Practice Address - State:OR
Practice Address - Zip Code:97386-9640
Practice Address - Country:US
Practice Address - Phone:541-367-6092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula