Atwill, Shelby

Atwill, Shelby is an individual health care provider with primary practice located at 9955 Sw Beaverton Hillsdale Hwy Ste 115 , Beaverton OR 97005-3228. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Atwill, Shelby can be contacted via phone (503) 567-2231.

Contact Information

Primary practice address
9955 Sw Beaverton Hillsdale Hwy Ste 115 Beaverton OR 97005-3228
Phone: (503) 567-2231
Fax: (888) 895-4828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 030777 Oregon
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 030777 Oregon

Profile Details

NPI number 1093141889
LBN Legal business name Atwill, Shelby
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2013
Last updated Aug 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093141889 NPPES
Oregon MEDICAID 500689519

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