Colo, Shanti

Colo, Shanti is an individual health care provider with primary practice located at 406 Welch St , Silverton OR 97381-1934. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Colo, Shanti can be contacted via phone (503) 364-3787.

Contact Information

Primary practice address
406 Welch St Silverton OR 97381-1934
Phone: (503) 364-3787
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60939595 Washington
Nursing Service Providers / Registered Nurse 163W00000X 201809217 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP61161569 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 202006152NP-PP Oregon

Profile Details

NPI number 1508417577
LBN Legal business name Colo, Shanti
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2019
Last updated Feb 3rd, 2022 - about 3 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 1508417577 NPPES
Oregon MEDICAID 500781877

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