SHANNON MARIE GWARTNEY


Address: 808 Sw 15th Ave., Portland, OR 97205
Phone: 5032744994

SHANNON MARIE GWARTNEY (NPI# 1669595237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669595237
Entity Type Individual
Full Name SHANNON MARIE GWARTNEY
Credential NP
Practice Address 808 Sw 15th Ave.
Portland
OR 97205
Practice Telephone 5032744994
Practice Fax Number 5032435849
Mailing Telephone 5032744994
Mailing Fax Number 5032435849
Enumeration Date 2007-04-09
Last Update Date 2016-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
200250121NP OR Physician Assistants & Advanced Practice Nursing Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
200150082NP OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 808 SW 15TH AVE.
City PORTLAND
State OR
Zip Code 97205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538577325 Serena Talcott-baughman Genetic Counselor, MS 808 Sw 15th Ave., Portland, OR 97205 2014-07-24
1801032339 Alexa Malena Gilbert Nurse Practitioner 808 Sw 15th Ave., Portland, OR 97205 2009-01-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
1316356165 Satheara Sin Massage Therapist 1033 Sw Yamhill St. #403, Portland, OR 97205 2014-08-06
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760043673 Tracy Lee Stevens Nurse Practitioner 2222 Ne 130th Ave, Portland, OR 97230-1705 2019-06-23
1982837019 Bronwyn Elizabeth Sewell Nurse Practitioner 443 Congress St Fl 2, Portland, ME 04101-3531 2009-08-24
1992831192 Soledad Grefnes Iniguez Nurse Practitioner 3181 Sw Sam Jackson Park Rd # Uhs29, Portland, OR 97239-3011 2007-02-24
1841363744 Susan Wells Nurse Practitioner 1723 Sw Martha St, Portland, OR 97239-2715 2006-11-16
1255414223 Kyle Bell Mcavoy Nurse Practitioner 120 Nw 14th Ave., Suite 200, Portland, OR 97409 2006-10-23
1043303902 Sheryl Lynne Horwitz Nurse Practitioner 2701 Nw Vaughn St Ste 205, Portland, OR 97210-5352 2006-10-02
1720033384 Carol Mccready Nurse Practitioner 970 Forest Ave, Portland, ME 04103-3331 2006-05-23
1689677445 Evonne Maria Kandas Nurse Practitioner 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 2005-05-24
1194251637 Natalie Ann Mohler Nurse Practitioner 501 N Graham St Ste 550, Portland, OR 97227-2010 2017-05-03
1194274274 Linda Anzalone Nurse Practitioner 1608 Se Ankeny St, Portland, OR 97214-1448 2016-09-29
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Competitor

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City PORTLAND
Zip Code 97205

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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