SHARON ELIZABETH REYNOLDS MN FNP NPI 1205893328

NPI Information

  • NPI: 1205893328
  • Provider Name: SHARON ELIZABETH REYNOLDS, MN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2999 NE 181ST AVE
    PORTLAND, OR
    ZIP 97230
  • Phone: (503) 401-5201

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NPI Details

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
1163W00000XRegistered NurseRN00068423WASHINGTONNo
2163W00000XRegistered Nurse201240347RNOREGONNo
3363LF0000XNurse PractitionerFamilyAP30003947WASHINGTONNo
4363LF0000XNurse PractitionerFamily201250019NPOREGONYes

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
1Q49212MEDICARE UPIN
28538773MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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: 3/30/2025

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