Maureen Shenker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00971 Issued in OR

Practice address

12672 NW Barnes Rd Ste 100
Portland, OR 97229-6191

Phone

(503) 644-7434

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255547782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SW HUME ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12672 NW BARNES RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296191",
            "telephone_number": "503-644-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENKER",
        "first_name": "MAUREEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00971",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving Shen, M.D.
• Jian Shen, M.D.
• Phoebe Shen, LICSW
• Shena Vander Ploeg ND PC
• Patrick R Shendo, QMHA-R
• Rivfka Shenoy
• Laurie Shepard-Glenn, LMT
• Kirk M Shepard, LPC
• Terrence Shepard
• Claire J Shepek, MSW, LCSW

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.