Doctor Name: | HOWARD F. SHEMEL |
NPI Number: | 1225333776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 201050178NP |
Business Practice Address: | 123 Ponderosa Dr. Suite 102 Sutherlin, OR - 974792753 |
Business Phone Number: | 5414593500 |
Business Fax Number: | 5414594040 |
Mailing Address: | 123 Ponderosa Dr., Suite 102 SUTHERLIN |
State: | OR |
Postal Code: | 974792753 |
Phone Number: | 5414593500 |
Fax Number: | 5414594040 |
NPI Enumeration Date: | 01/13/2011 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201050178NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |