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Individual

TAMMY SHUMWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3415 NE 65TH AVE, PORTLAND, OR 97213-4541
(831) 295-3474
Mailing address
3415 NE 65TH AVE, PORTLAND, OR 97213-4541
(831) 295-3474

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00134785
WA
163WP2201X
Ambulatory Care Registered Nurse
Primary
099007524RN
OR
163WP2201X
Ambulatory Care Registered Nurse
607230
CA

Other

Enumeration date
07/24/2014
Last updated
07/24/2014
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