Individual
SHELLEY ANN DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10140 SW PARKWAY, PORTLAND, OR 97225-5008
(503) 215-2669
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
077038996N3
OR
Other
Enumeration date
09/09/2008
Last updated
07/22/2021
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