Individual
SHAYLAN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6052 W STATE ST, BOISE, ID 83703-2739
(208) 344-7799
(208) 322-8095
Mailing address
9155 SW BARNES RD, SUITE 210, PORTLAND, OR 97225-6625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1509
ID
Other
Enumeration date
10/08/2014
Last updated
05/14/2025
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