Individual
VANESSA LYNN SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., BSN, CBN
Contact information
Practice address
3303 SW BOND AVE, MAIL CODE CH6D, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 346-6960
Mailing address
3303 SW BOND AVE, MAIL CODE CH6D, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 346-6960
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
201140764RN
OR
163WP2201X
Ambulatory Care Registered Nurse
Primary
201140764RN
OR
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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