DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHANNON ROSE MSW CSWA

MEDICARE: SHANNON ROSE MSW CSWA
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
11041C0700XClinical Social WorkerL6498OR

General Provider Information

NPI Number : 1336406198
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON ROSE MSW CSWA
Provider Business Mailing Address
First Line : 900 E MAIN ST STE 201
Second Line :
City : MEDFORD
State : OR
Zip : 97504-7136
Country : US
Telephone Number : 541-842-7705
Fax Number : 541-842-7640
Provider Business Practice Location Address
First Line : 8385 DIVISION RD
Second Line :
City : WHITE CITY
State : OR
Zip : 97503-1176
Country : US
Telephone Number : 541-826-5853
Fax Number : 541-826-5843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 02/14/2019

Similar Medicare Providers

1255300992 — DR. STACEY J PORTERFIELD DO
Practice Location Address:
8385 DIVISION RD
WHITE CITY, OR
97503-1176
Practice Phone: 541-826-5853
Practice Fax: 541-826-5843
1013970540 — DR. MICHAEL J KORDUS II MD
Practice Location Address:
8385 DIVISION RD STE 101
WHITE CITY, OR
97503-1176
Practice Phone: 541-826-5853
Practice Fax: 541-826-5843
1770645871 — ROGUE COMMUNITY HEALTH
Practice Location Address:
8385 DIVISION ROAD
WHITE CITY, OR
97503-1176
Practice Phone: 541-826-5853
Practice Fax: 541-826-5843
1487717674 — LAURA ROBEY FNP
Practice Location Address:
8385 DIVISION RD
WHITE CITY, OR
97503-1176
Practice Phone: 541-826-5853
Practice Fax: 541-826-5843
1598038382 — GUY HAVICE RPH
Practice Location Address:
8385 DIVISION RD
WHITE CITY, OR
97503-1176
Practice Phone: 541-500-0989
Practice Fax:
1730443102 — DENISE PATRICIA SEUS RDH
Practice Location Address:
8385 DIVISION RD
WHITE CITY, OR
97503-1176
Practice Phone: 541-826-5853
Practice Fax: 541-826-5843

Directions to “ SHANNON ROSE MSW CSWA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.