CARY SHORE ARNP PMHNP-BC NPI 1346765880

NPI Information

NPI: 1346765880
Provider Name: CARY SHORE, ARNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
555 SE MARTIN LUTHER KING JR BLVD STE 105
PORTLAND, OR
ZIP 97214
Phone: (503) 664-9451
Get Directions

Cary Shore, ARNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Portland, OR. Cary Shore, ARNP, PMHNP-BC NPI is 1346765880. 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:

555 SE MARTIN LUTHER KING JR BLVD STE 105
PORTLAND, OR
ZIP 97214-120
Phone: (503) 664-9451
Fax: (503) 386-3230

The NPI 1346765880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2017 and was last updated on 4/3/2023.

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		RN60468151	WASHINGTON	No
2	163W00000X	Registered Nurse		201902708RN	OREGON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2017010049	WASHINGTON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201903897NP-PP	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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