Healthcare Provider Details

I. General information

NPI: 1518508738
Provider Name (Legal Business Name): CHERYL ANN HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19657 SW ROCK CREEK RD
SHERIDAN OR
97378-9739
US

IV. Provider business mailing address

19657 SW ROCK CREEK RD
SHERIDAN OR
97378-9739
US

V. Phone/Fax

Practice location:
  • Phone: 503-843-2428
  • Fax:
Mailing address:
  • Phone: 503-843-2428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: