Individual
SHAUNA O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP/CNM
Contact information
Practice address
5234 SW PHILOMATH BLVD, CORVALLIS, OR 97333-1042
(541) 768-4970
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201606605-NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
APN.0996278-NP
CO
367A00000X
Advanced Practice Midwife
0993198-CNM
CO
367A00000X
Advanced Practice Midwife
201606606NP-PP
OR
Other
Enumeration date
09/14/2016
Last updated
09/23/2022
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