Individual
SHINOBU MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201043253RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201250112NP
OR
Other
Enumeration date
12/24/2011
Last updated
09/21/2018
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