Individual
CARY M SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-PMHNP
Contact information
Practice address
555 SE MLK JR BLVD UNIT 105, PORTLAND, OR 97214-2595
(503) 664-9451
(503) 386-3230
Mailing address
3055 NW YEON AVE SUITE 606, PORTLAND, OR 97210
(503) 664-9451
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2017010049
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201903897NP-PP
OR
Other
Enumeration date
08/06/2017
Last updated
12/03/2024
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