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General NPI Number Information
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NPI Number | 1124089693
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Entity Type | Individual
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Provider Name | SHELLEY LYNNE JANSSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2074 S 6TH ST
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-3372
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Country | US
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Telephone | 541-841-8110
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Fax | 541-885-5512
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Provider Business Mailing Address
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Address Line | 2074 S 6TH ST
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-3372
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Country | US
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Telephone | 541-841-8110
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Fax | 541-885-5512
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32144
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 99-00262
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD228736
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License Number State | OR
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