Healthcare Provider Details

I. General information

NPI: 1396388484
Provider Name (Legal Business Name): RACHEL ELIZABETH SHEARER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ELIZABETH MOSTEIRO MSN, APRN, FNP-C

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 LAUREL AVE
BUTTE FALLS OR
97522
US

IV. Provider business mailing address

1221 DISK DR
MEDFORD OR
97501-6638
US

V. Phone/Fax

Practice location:
  • Phone: 541-773-3863
  • Fax:
Mailing address:
  • Phone: 541-773-3863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20206257NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: