Individual
AMANDA JEAN SHINPAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
(877) 533-6717
Mailing address
4539 SW FAIRVIEW BLVD, PORTLAND, OR 97221-2655
(503) 708-9712
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00710
OR
Other
Enumeration date
08/11/2005
Last updated
01/31/2023
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