Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Forest Wayne Shira, FNP-C

Individual provider Family Nurse Practitioner · NPI 1689001000

Forest Wayne Shira, FNP-C is a Nurse Practitioner in Roseburg, Oregon. Qualified in 2013, 13 years ago. Practices with Asante Three Rivers Medical Center LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2013
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1863 NE Freemont Ave
Roseburg, OR 97470-3535
Phone: (541) 733-2230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201392914NP-PP (OR)

Record details

NPI number1689001000
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 30, 2013
Last updated in NPPESApril 9, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Asante Three Rivers Medical Center Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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