Individual
KATHRYN MARIE SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1541 NW CANAL BLVD, REDMOND, OR 97756-1341
(541) 706-5800
(541) 706-5800
Mailing address
2800 SW 257TH AVE, TROUTDALE, OR 97060-1803
(503) 667-7711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201607532NP-PP
OR
Other
Enumeration date
12/08/2016
Last updated
06/13/2022
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