Freed, Shelby Lee

Freed, Shelby Lee is an individual health care provider with primary practice located at 600 Ne 8Th St Ste. 300, Gresham OR 97030-7317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Freed, Shelby Lee can be contacted via phone (503) 988-5155.

Contact Information

Primary practice address
600 Ne 8Th St Ste. 300 Gresham OR 97030-7317
Phone: (503) 988-5155
Fax: (503) 988-5185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2264435 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201601936NP-PP Oregon

Profile Details

NPI number 1275811549
LBN Legal business name Freed, Shelby Lee
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Jul 19th, 2016 - about 9 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 1275811549 NPPES
Oregon MEDICAID 022959
Oregon MEDICAID 096511

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