Carlson, Shannon

Carlson, Shannon is an individual health care provider with primary practice located at 3311 Riverbend Dr , Springfield OR 97477-8800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Carlson, Shannon can be contacted via phone (541) 484-4332.

Contact Information

Primary practice address
3311 Riverbend Dr Springfield OR 97477-8800
Phone: (541) 484-4332
Fax: (541) 302-0786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP 9380645 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 201703390NP-PP Oregon

Profile Details

NPI number 1700285582
LBN Legal business name Carlson, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Jul 21st, 2022 - about 4 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 1700285582 NPPES
Florida MEDICAID 013393500

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