Ensminger, Shauna L

Ensminger, Shauna L is an individual health care provider with primary practice located at 4920 N. Interstate Avenue , Portland OR 97217-3653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ensminger, Shauna L can be contacted via phone (503) 215-3300.

Contact Information

Primary practice address
4920 N. Interstate Avenue Portland OR 97217-3653
Phone: (503) 215-3300
Fax: (503) 215-3350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00041452 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19637 Oregon

Profile Details

NPI number 1619960002
LBN Legal business name Ensminger, Shauna L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 9th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619960002 NPPES
Oregon MEDICAID 080234
Oregon MEDICAID 8398182

Popular Providers