SHARON ELIZABETH REYNOLDS MN FNP NPI 1205893328

NPI Information

NPI: 1205893328
Provider Name: SHARON ELIZABETH REYNOLDS, MN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2999 NE 181ST AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 401-5201
Get Directions

Sharon Elizabeth Reynolds, MN, FNP is a family nurse practitioner in Portland, OR. Sharon Elizabeth Reynolds, MN, FNP NPI is 1205893328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2999 NE 181ST AVE
PORTLAND, OR
ZIP 97230-923
Phone: (503) 401-5201
Fax: (503) 401-3322

The enumeration date for this NPI number is 5/1/2006 and was last updated on 9/12/2013.

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		RN00068423	WASHINGTON	No
2	163W00000X	Registered Nurse		201240347RN	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	AP30003947	WASHINGTON	No
4	363LF0000X	Nurse Practitioner	Family	201250019NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q49212	MEDICARE UPIN
2	8538773	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

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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