Individual
DR. SHELBY ATWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
9955 SW BEAVERTON HILLSDALE HWY STE 115, BEAVERTON, OR 97005-3228
(503) 567-2231
(888) 895-4828
Mailing address
9521 N PORTSMOUTH AVE, PORTLAND, OR 97203-1935
(503) 360-6129
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030777
OR
231HA2400X
Assistive Technology Practitioner Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
030777
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689519
—
OR
Enumeration date
09/24/2013
Last updated
08/26/2020
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