Individual
MS. SHIRLEY LYNN HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
25117 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070
(971) 224-2505
Mailing address
25117 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F06172350
OR
363LF0000X
Family Nurse Practitioner
Primary
F06172350
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56271
IDAHO BOARD OF NURSING
ID
Enumeration date
08/07/2017
Last updated
08/26/2018
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