Mckenzie, Shilo Marie

Mckenzie, Shilo Marie is an individual health care provider with primary practice located at 29135 Ellensburg Ave , Gold Beach OR 97444-8722. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Other Service Providers / Midwife is her primary health care specialty. Mckenzie, Shilo Marie can be contacted via phone (541) 425-5311.

Contact Information

Primary practice address
29135 Ellensburg Ave Gold Beach OR 97444-8722
Phone: (541) 425-5311
Fax: (541) 425-5577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 200950160NP NMNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200950160NP NMNP-PP Oregon

Profile Details

NPI number 1912235516
LBN Legal business name Mckenzie, Shilo Marie
Credentials CNMNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2009
Last updated Apr 3rd, 2015 - about 10 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 1912235516 NPPES
Oregon Other 1386069326 BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH LLC NPI
Oregon MEDICAID 500614877 BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH LLC NPI
Oregon Other R179539 BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH LLC NPI
Oregon Other 1487696985 BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH LLC NPI

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