Blanken, Shannon N
Blanken, Shannon N is an sole proprietor health care provider with primary practice located at 60 Division Ave , Eugene OR 97404-5127. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Blanken, Shannon N can be contacted via phone (541) 461-1433.Contact Information
Primary practice address
60 Division Ave
Eugene OR 97404-5127
Phone: (541) 461-1433
Fax: (541) 461-1443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 11448 | Oregon |
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 11448 | Oregon |
Profile Details
NPI number | 1316224017 |
---|---|
LBN Legal business name | Blanken, Shannon N |
Credentials | RPH |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 8th, 2011 |
Last updated | Apr 25th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316224017 | NPPES |
Oregon | Other | 11448 | RPH LICENSE |
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