Individual
MAGDALENE CLARE SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
Mailing address
515 MILLER AVE, NORMAN, OK 73069-5929
(405) 473-3810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55241
CA
363A00000X
Physician Assistant
Primary
PA185332
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55241
PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
02/05/2018
Last updated
01/09/2023
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