Individual
MS. MARY MEGAN SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M
Contact information
Practice address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 292-3947
Mailing address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 292-3947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200150085NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262442
—
OR
Enumeration date
11/16/2005
Last updated
04/17/2017
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