Individual
SHANAH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-4050
(503) 338-4051
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10022906
OR
363LF0000X
Family Nurse Practitioner
277755
AZ
Other
Enumeration date
07/15/2022
Last updated
05/01/2025
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