Healthcare Provider Details

I. General information

NPI: 1962387514
Provider Name (Legal Business Name): ALISON E SHERWOOD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 NE KIRBY ST
MCMINNVILLE OR
97128-4301
US

IV. Provider business mailing address

6844 SW FLEET AVE
LINCOLN CITY OR
97367-1050
US

V. Phone/Fax

Practice location:
  • Phone: 503-434-7525
  • Fax:
Mailing address:
  • Phone: 309-299-9461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number200642252RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: