Shannon, Julia Elizabeth

Shannon, Julia Elizabeth is an individual health care provider with primary practice located at 364 Se 8Th Ave Suite 205, Hillsboro OR 97123-4253. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Shannon, Julia Elizabeth can be contacted via phone (503) 681-4145.

Contact Information

Primary practice address
364 Se 8Th Ave Suite 205 Hillsboro OR 97123-4253
Phone: (503) 681-4145
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 201150052NP Oregon

Profile Details

NPI number 1346536992
LBN Legal business name Shannon, Julia Elizabeth
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Apr 13th, 2016 - about 8 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 1346536992 NPPES
Oregon MEDICAID 500635927
Oregon MEDICAID 1346536992

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