JAMES SHEPPARD BRUCE MCMINN RN NPI 1013353523

NPI Information

NPI: 1013353523
Provider Name: JAMES SHEPPARD BRUCE MCMINN, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2330 NE SISKIYOU ST
PORTLAND, OR
ZIP 97212
Phone: (503) 528-0757
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James Sheppard Bruce Mcminn, RN is a psychiatric/mental health registered nurse in Portland, OR. James Sheppard Bruce Mcminn, RN NPI is 1013353523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2330 NE SISKIYOU ST
PORTLAND, OR
ZIP 97212-471
Phone: (503) 528-0757

The enumeration date for this NPI number is 5/13/2013 and was last updated on 9/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		201242380RN	OREGON	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	201242380RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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