Individual
MRS. SHANNON CRISTINE BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1100 SOUTHGATE, SUITE 2, PENDLETON, OR 97801-3974
(541) 276-1911
(541) 278-1412
Mailing address
1100 SOUTHGATE, SUITE 2, PENDLETON, OR 97801-3974
(541) 276-1911
(541) 278-1412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
023589874
OR
Other
Enumeration date
09/03/2013
Last updated
04/16/2014
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