Individual
DOROTHY SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
1755 COBURG RD, BLDG 1, SUITE 2, EUGENE, OR 97401-4982
(541) 984-3000
(541) 485-7266
Mailing address
1755 COBURG RD, BLDG 1, SUITE 2, EUGENE, OR 97401-4982
(541) 984-3000
(541) 485-7266
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
080045016N5
OR
363LW0102X
Women's Health Nurse Practitioner
Primary
080045015
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R165420
MEDICARE PTAN
OR
Enumeration date
10/12/2006
Last updated
02/01/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us