Patricia Renee Shimek, MS

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2222 E Powell Blvd
Gresham, OR 97080-1365

Phone

(503) 669-4300

Fax

(503) 669-4301

NPI assigned

Aug 20, 2019

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

Other names 1

• Renee Shimek Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1215584776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 SW 21ST TER",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970806613",
            "telephone_number": "503-730-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801365",
            "telephone_number": "503-669-4300",
            "fax_number": "503-669-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMEK",
        "first_name": "PATRICIA",
        "middle_name": "RENEE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SHIMEK",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Lynne Sherwood
• Deanna Rae Shields, CADC-R/CRM/PSS
• Sydney Shields
• Megan Maxine Shiere, LPN
• Kevin K Shim, D.D.S.
• Julie Shiprack, CNM
• Rhiannah Rae Shirley, CFY-SLP
• Tatyana Shiyenkova
• Rebecca Leigh Shower, RN, LAC
• Eleonora Shukshina, NP

• Psychologist in Gresham, OR
• Providers in Gresham, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.