Shelby Willis
Shelby Willis is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3098
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1467193649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | March 30, 2022 |
| Mailing address | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 |
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Helen Ruth Williams
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Courtney Wilson
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5415 SW Westgate Dr, Portland, OR 97221-2409 · (503) 645-9010