Individual
SHAYLYN B MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1620 E 12TH ST, THE DALLES, OR 97058
(541) 296-9151
(541) 296-9156
Mailing address
1620 E 12TH ST, PO BOX 1520, THE DALLES, OR 97058
(541) 296-9151
(541) 296-4710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00919
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218112
—
OR
Enumeration date
11/18/2005
Last updated
06/26/2008
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