Doctor Name: | SHARON BRENNAN |
NPI Number: | 1104072057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 26NJ00049600 |
Business Practice Address: | 2800 Sw 257th Avenue Columbia View Family Health Center Troutdale, OR - 97060 |
Business Phone Number: | 5036677711 |
Business Fax Number: | 5036698328 |
Mailing Address: | 2800 Sw 257th Avenue, Columbia View Family Health Center TROUTDALE |
State: | OR |
Postal Code: | 97060 |
Phone Number: | 5036677711 |
Fax Number: | 5036698328 |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00049600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |