Individual
JOAN MARGUERITE SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
8216 NE 159TH ST, VANCOUVER, WA 98662-1035
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
088006327N3ANP-PP
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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