Individual
LORI SUE SHELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
Mailing address
PO BOX 180, SEASIDE, OR 97138-0180
(253) 306-0693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60889637
WA
163WC0200X
Critical Care Medicine Registered Nurse
202004591RN
OR
363L00000X
Nurse Practitioner
Primary
10050902
OR
363L00000X
Nurse Practitioner
AP70050553
WA
Other
Enumeration date
12/28/2024
Last updated
03/03/2026
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