Thurston, Shannon
Thurston, Shannon is an individual health care provider with primary practice located at 24850 Se Stark St Ste 200 , Gresham OR 97030-8320. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Thurston, Shannon can be contacted via phone (503) 491-9444.Contact Information
Primary practice address
24850 Se Stark St Ste 200
Gresham OR 97030-8320
Phone: (503) 491-9444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 10009305 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 10009305 | Oregon |
Profile Details
| NPI number | 1134813405 |
|---|---|
| LBN Legal business name | Thurston, Shannon |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2023 |
| Last updated | Aug 14th, 2023 - about 3 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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