Woody, Shaudine

Woody, Shaudine is an sole proprietor health care provider with primary practice located at 11790 Sw Barnes Rd Ste 140 , Portland OR 97225-5938. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Woody, Shaudine can be contacted via phone (503) 643-2100.

Contact Information

Primary practice address
11790 Sw Barnes Rd Ste 140 Portland OR 97225-5938
Phone: (503) 643-2100
Fax: (503) 643-7300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201809140NP-PP Oregon

Profile Details

NPI number 1295273399
LBN Legal business name Woody, Shaudine
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2017
Last updated Oct 18th, 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.

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