Shirley Lynn Hanley, Dr.
Nurse Practitioner, Family in Wilsonville, OR. Individual provider (NPI-1).
NPI number1730604166
StatusActive
Last updated in NPPESAug 26, 2018
Details
- NPI
- 1730604166
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shirley Lynn Hanley
- Credential
- Dr.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2017
- Last updated
- Aug 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06172350 | OR | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | F06172350 | OR |
Practice location
25117 Sw Parkway Ave Ste BWilsonville, OR 97070
Phone 971-224-2505
Mailing address
25117 Sw Parkway Ave Ste BWilsonville, OR 97070-9697
Other practice locations
6751 Edison Rd
Marsing, ID 83639-8056
Marsing, ID 83639-8056
Phone 208-969-0686
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