Individual
SHARON RUTH BOTWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
082010575N5
OR
363LF0000X
Family Nurse Practitioner
Primary
082010575N5
OR
367A00000X
Advanced Practice Midwife
082010575N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120548
—
OR
Enumeration date
09/09/2010
Last updated
03/27/2023
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