Individual
SHANTA L SCHRIEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
9427 SW BARNES RD, SUITE 395, PORTLAND, OR 97225-6652
(503) 216-2602
(503) 216-2639
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
095000272N7
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212889
—
OR
Enumeration date
06/05/2006
Last updated
03/24/2021
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