Individual
SHANNON BRIANA SUHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
115 SW PINE STREET, CANYONVILLE, OR 97417-0198
(541) 839-4211
(541) 839-4858
Mailing address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 852-0266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200950075NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231893
—
OR
01
—
381852
MEDICARE FQHC
OR
Enumeration date
08/27/2009
Last updated
11/17/2015
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