Patricia F Shangraw, FAMILY NURSE PRACTIT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650158NPFNPPP Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Mail Code Uhn-65 Pat Clinic Oregon Health and Science U
Portland, OR 97239-3098

Phone

(503) 494-1100

Fax

(503) 494-1110

NPI assigned

May 7, 2008

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

• Patricia Mary Ford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1437325669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 SW CALUSA LOOP",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-692-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE UHN-65 PAT CLINIC OREGON HEALTH AND SCIENCE U",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-494-1100",
            "fax_number": "503-494-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANGRAW",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650158NPFNPPP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "FORD",
            "middle_name": "MARY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meaghan Marie Shanahan, M.D.
• Michael Bruce Shanahan, M.D.
• Michal Shanda
• Yanan Shang, M.D.
• Kirsten Celanire Shangraw, DPT
• Robert Edward Shangraw, M.D.
• Heather Shank, LCSW
• Kevin Shank
• Renee Mendonca Shankar, L.AC
• Vijay Shankar, PSY.D.

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.