Physician Compare National (NPI:1144218454)

HEALTHCARE PROVIDER: SHARON M LAWRENCE DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144218454
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729059183
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100621000071
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LAWRENCE
	Individual professional last name
Provider First Name	SHARON
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	525 N COLUMBIA RIVER HWY
	Group Practice or individual's line 1 address
City	SAINT HELENS
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	970511226
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5033666244
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEGACY GOOD SAMARITAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y