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NPI Code Detail

MEDICARE: SHAWN MARIE MARSHALL FNP-C

MEDICARE: SHAWN MARIE MARSHALL FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner10013338OR

General Provider Information

NPI Number : 1134800113
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN MARIE MARSHALL FNP-C
Provider Business Mailing Address
First Line : 18015 S WINDY CITY RD
Second Line :
City : MULINO
State : OR
Zip : 97042-8785
Country : US
Telephone Number : 503-489-8446
Fax Number :
Provider Business Practice Location Address
First Line : 10000 SE MAIN ST STE 316
Second Line :
City : PORTLAND
State : OR
Zip : 97216-2470
Country : US
Telephone Number : 503-974-3996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 07/31/2023

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Directions to “ SHAWN MARIE MARSHALL FNP-C” Practice Location

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