Ahwah, Shayne Mahealani

Ahwah, Shayne Mahealani is an individual health care provider with primary practice located at 15700 Sw Greystone Ct , Beaverton OR 97006-6011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ahwah, Shayne Mahealani can be contacted via phone (971) 262-9150.

Contact Information

Primary practice address
15700 Sw Greystone Ct Beaverton OR 97006-6011
Phone: (971) 262-9150
Fax: (971) 262-9151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA187846 Oregon

Profile Details

NPI number 1790273811
LBN Legal business name Ahwah, Shayne Mahealani
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated May 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790273811 NPPES
Washington MEDICAID 2099260
Washington MEDICAID 500742931

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