Individual
CARA SHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP016686
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
202202378NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
APRN100899
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103248861
—
PA
05
—
1063850220
—
WV
Enumeration date
06/10/2013
Last updated
06/03/2022
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