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).
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 |
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 |
Street Address |
808 SW 15TH AVE. |
City | PORTLAND |
State | OR |
Zip Code | 97205 |
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 |
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 |
Find all providers in zip 97205 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
Find all providers in PORTLAND |
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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.