Individual
THERESA MCSHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 N GRAHAM ST STE 555, PORTLAND, OR 97227-2007
(503) 288-7535
(503) 288-7538
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201701536NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076130
—
WA
05
—
500722007
—
OR
Enumeration date
04/20/2016
Last updated
12/05/2023
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