Sharon Aumani

Individual provider Active NPI Registered Nurse · Gresham, OR

NPI 1194119636 · NPPES record last updated Mar 23, 2015

Key facts

NPI
1194119636
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
090007299RN (OR)
Practice address
4101 NE Division St
Gresham, OR 97030-4617
Phone
(503) 666-6575
Fax
(503) 491-3395
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
090007299RNORMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 090007299RN OR Yes

Addresses

Primary practice location

4101 NE Division St
Gresham, OR 97030-4617

Mailing address

4101 NE Division St
Gresham, OR 97030-4617
Phone (503) 666-6575

Other providers in Gresham, OR

All providers in Gresham, OR · Registered Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.