Individual
MS. BATHSHEBA SHUNQUITA QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN
Contact information
Practice address
216 S 2ND ST UNIT 183, INDEPENDENCE, OR 97351-2081
(352) 321-0554
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
10038858
OR
363LA2200X
Adult Health Nurse Practitioner
NP95015951
CA
363LG0600X
Gerontology Nurse Practitioner
10038858
OR
363LG0600X
Gerontology Nurse Practitioner
NP95015951
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
10038858
OR
363LP2300X
Primary Care Nurse Practitioner
NP95015951
CA
Other
Enumeration date
12/01/2020
Last updated
01/20/2026
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