Individual
SHEA M GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(971) 271-6313
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201241937RN
OR
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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