IndividualActive
Shawn Payne, CHW
NPI 1063003390 · Community Health Worker · Moro, OR
Provider details
- NPI number
- 1063003390
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- CHW
- Sex
- Female
- Sole proprietor
- No
- License
- 104482 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
110 Main St
Moro, OR 97039-3115
Phone: (541) 565-3325
Fax: (541) 565-3617
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 186
Moro, OR 97039-0186
Registry dates
- Enumerated
- 2021-01-29
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.