MEDICARE: SHERIE MARIE CHANEY-OSTROWSKI PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	81055152	OR

General Provider Information

NPI Number	:	1184654451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERIE MARIE CHANEY-OSTROWSKI PMHNP

Provider Business Mailing Address
First Line	:	9370 SW STONO DR
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-7300
Country	:	US
Telephone Number	:	503-692-5113
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 NE COLUMBIA BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-1930
Country	:	US
Telephone Number	:	503-988-3393
Fax Number	:	504-988-3357

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/08/2007

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