Shannon Vuylsteke, EFDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

19075 NW Tanasbourne Dr
Suite 300
Hillsboro, OR 97124-5860

Phone

(503) 531-1700

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1184812885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N 10TH AVE",
            "address_2": "APT 31",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971139166",
            "telephone_number": "503-531-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19075 NW TANASBOURNE DR",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245860",
            "telephone_number": "503-531-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUYLSTEKE",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "EFDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Huy Vu, L.AC
• Hoang Lan Phuong Vu
• Jonathan Vu, LMT
• Maryann Tuyet-Nhu Vu
• Scully Vue, M.A.
• Tesha Lynn Waggoner, DMD
• Brady Wayne Wagner, M.D.
• Justus Wahl
• Tracy Wahlberg, M.S.
• Alisa B. Waibel, DPT

• Dental Assistant in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Dental Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.