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NPI Code Detail

MEDICARE: SHAYNA NATALIA YOCKMAN

MEDICARE:   SHAYNA NATALIA YOCKMAN
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 Worker105528TX
21041C0700XClinical Social WorkerLW61676877WA

General Provider Information

NPI Number : 1760004196
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA NATALIA YOCKMAN
Provider Business Mailing Address
First Line : 11707 N WALL ST
Second Line :
City : SPOKANE
State : WA
Zip : 99218-2844
Country : US
Telephone Number : 808-226-5449
Fax Number :
Provider Business Practice Location Address
First Line : 4815 N ASSEMBLY ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6185
Country : US
Telephone Number : 509-434-7769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2020
Last Update Date : 12/08/2025

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Directions to “ SHAYNA NATALIA YOCKMAN ” Practice Location

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