Individual
NAN SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8800 SE CAUSEY LOOP, #D205, HAPPY VALLEY, OR 97086-7562
(503) 575-5158
Mailing address
8800 SE CAUSEY LOOP, #D205, HAPPY VALLEY, OR 97086-7562
(503) 575-5158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
086006605RN
OR
163W00000X
Registered Nurse
RN00086719
WA
Other
Enumeration date
11/17/2010
Last updated
09/17/2012
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