Individual
MISS JULIA ELIZABETH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
364 SE 8TH AVE, SUITE 205, HILLSBORO, OR 97123-4253
(503) 681-4145
Mailing address
364 SE 8TH AVE, SUITE 205, HILLSBORO, OR 97123-4253
(503) 681-4145
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201150052NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346536992
—
WA
05
—
500635927
—
OR
Enumeration date
06/22/2011
Last updated
04/13/2016
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