Individual
SHANNON MARIE GWARTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
808 SW 15TH AVE., PORTLAND, OR 97205
(503) 274-4994
(503) 243-5849
Mailing address
808 SW 15TH AVE., PORTLAND, OR 97205
(503) 274-4994
(503) 243-5849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200250121NP
OR
363LW0102X
Women's Health Nurse Practitioner
Primary
200150082NP
OR
Other
Enumeration date
04/09/2007
Last updated
01/29/2016
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