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NPI Code Detail

MEDICARE: MS. MARLENE JOY MONETTE-SHOWKER MSW

MEDICARE: MS. MARLENE JOY MONETTE-SHOWKER MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerOR
21041C0700XClinical Social WorkerL6241OR

General Provider Information

NPI Number : 1053600395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARLENE JOY MONETTE-SHOWKER MSW
Provider Business Mailing Address
First Line : 2186 CITY VIEW ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-1529
Country : US
Telephone Number : 541-912-5957
Fax Number :
Provider Business Practice Location Address
First Line : 687 CHESHIRE AVE
Second Line :
City : EUGENE
State : OR
Zip : 97402-5060
Country : US
Telephone Number : 541-343-2993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2011
Last Update Date : 09/19/2022

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