Individual
SHELLEY ILENE MCCARGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4808
(503) 494-4743
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4808
(503) 494-4743
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
201042108
OR
363LF0000X
Family Nurse Practitioner
Primary
202009377NP-PP
OR
Other
Enumeration date
07/06/2018
Last updated
10/04/2021
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