Shannon, Dorothy

Shannon, Dorothy is an sole proprietor health care provider with primary practice located at 1755 Coburg Rd Bldg 1, Suite 2, Eugene OR 97401-4982. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Shannon, Dorothy can be contacted via phone (541) 984-3000.

Contact Information

Primary practice address
1755 Coburg Rd Bldg 1, Suite 2 Eugene OR 97401-4982
Phone: (541) 984-3000
Fax: (541) 485-7266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 080045016N5 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 080045015 Oregon

Profile Details

NPI number 1760571079
LBN Legal business name Shannon, Dorothy
Credentials CNM, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Feb 1st, 2013 - about 12 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 1760571079 NPPES
Oregon Other R165420 MEDICARE PTAN

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