Individual
WENDY SHELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 SW 49TH AVE, #19000, PORTLAND, OR 97219-7132
(971) 722-4062
Mailing address
PO BOX 19000, PORTLAND, OR 97280-0990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
078040147RN
OR
163WG0000X
General Practice Registered Nurse
078040147
OR
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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