MEDICARE: DR. KAREN BOLINGER JONES SHORR ND

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	175F00000X	Naturopath	1068	OR

General Provider Information

NPI Number	:	1598834301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN BOLINGER JONES SHORR ND

Provider Business Mailing Address
First Line	:	3110 NE KLICKITAT ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97212
Country	:	US
Telephone Number	:	503-231-3825
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 LIBERTY ST SE STE 210
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4195
Country	:	US
Telephone Number	:	503-990-8395
Fax Number	:	844-778-7077

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/29/2021

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Directions to “ DR. KAREN BOLINGER JONES SHORR ND” Practice Location

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