Shauna Forrester, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

202002697LPN Issued in OR

Practice address

10763 SW Greenburg Rd Ste 100
Tigard, OR 97223-5492

Phone

(503) 684-8159

Fax

(503) 598-0934

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CRC Health Oregon, LLC

  • Methadone Clinic
  • Tigard, OR
  • NPI 1184775967
  NPD (past)
• CRC Health Oregon, LLC

  • Methadone Clinic
  • Albany, OR
  • NPI 1811561731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1063179703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10763 SW GREENBURG RD STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235492",
            "telephone_number": "503-684-8159",
            "fax_number": "503-598-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10763 SW GREENBURG RD STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235492",
            "telephone_number": "503-684-8159",
            "fax_number": "503-598-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "SHAUNA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "202002697LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Foley, RDH, EPDH
• Martina D Ford, APRN
• Mary Jo Ford, OTL
• Shaianna Ford
• Jaelithe Azure Formway-Nelson
• Cynthia Marie Forst, OTR/L
• Miriam Fosburgh, RDH
• Kristal L. Foskey, LCSW
• Alisia Foster
• Anthony Miles Foster

• Licensed Practical Nurse in Tigard, OR
• Providers in Tigard, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.