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DR. SHAINA ALEXANDRA YECHA DO NPI 1336632769


NPI Information

NPI: 1336632769
Provider Name: DR. SHAINA ALEXANDRA YECHA, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: CENTENNIAL MEDICAL GROUP EAST LLC

PECOS Registration: Yes

Address:
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-7200
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DR. Shaina Alexandra Yecha, DO is a family medicine in Roseburg, OR with 6 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Shaina Alexandra Yecha, DO NPI is 1336632769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduation Year:2018

The provider's business location address is:

2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR
ZIP 97471-214
Phone: (541) 677-7200
Fax: (541) 229-3309

The NPI 1336632769 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2018 and was last updated on 8/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineDO203991OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500794137MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.