Shelley Atkeson
Individual provider Active NPI Pharmacist · Gladstone, OR
NPI 1497056717 · NPPES record last updated Nov 3, 2010
Key facts
- NPI
- 1497056717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8865 (OR)
- Practice address
- 95 82ND Dr
Gladstone, OR 97027-2522 - Phone
- (503) 723-2685
- Fax
- (503) 723-2688
- NPI assigned
- Nov 3, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8865 | OR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8865 | OR | Yes |
Addresses
Primary practice location
95 82ND Dr
Gladstone, OR 97027-2522
Mailing address
95 82ND Dr
Gladstone, OR 97027-2522
Phone (503) 723-2685
Other providers in Gladstone, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.