Individual
MS. LAURA ANN SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
21440 S UPPER HIGHLAND RD, BEAVERCREEK, OR 97004-8814
(503) 632-3172
Mailing address
21440 S UPPER HIGHLAND RD, BEAVERCREEK, OR 97004-8814
(503) 632-3172
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
OR
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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