Healthcare Provider Details

I. General information

NPI: 1982517470
Provider Name (Legal Business Name): SHAWN ZEMBLES DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 NE NEFF RD
BEND OR
97701-6337
US

IV. Provider business mailing address

2600 NE NEFF RD
BEND OR
97701-6337
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-2968
  • Fax:
Mailing address:
  • Phone: 541-706-2968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number10040183
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code364SE0003X
TaxonomyEmergency Clinical Nurse Specialist
License Number10040183
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: