Individual
TASHA SHAULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(888) 875-7820
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1641555
CO
367A00000X
Advanced Practice Midwife
Primary
202208682NP-PP
OR
Other
Enumeration date
04/03/2018
Last updated
06/29/2022
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