Shelby Taylor Bowerly
Student in an Organized Health Care Education/Training Program

Address: 4522 Ne Ainsworth St, Portland, OR 97218-1322
Phone: 5035088075

Shelby Taylor Bowerly (NPI# 1396343992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396343992
Entity Type Individual
Full Name Shelby Taylor Bowerly
Gender Female
Practice Address 4522 Ne Ainsworth St
Portland
OR 97218-1322
Practice Telephone 5035088075
Mailing Address 4522 Ne Ainsworth St
Portland
OR 97218-1322
Mailing Telephone 5035088075
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-10-15
Last Update Date 2020-10-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Secondary Practice Locations

Address Telephone Number Fax Number
3455 Sw Us Veterans Hospital Rd, Portland, OR 972393076 5034947725

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536602 Dario J Lapoma Student in an Organized Health Care Education/Training Program 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot Student in an Organized Health Care Education/Training Program 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1821696816 Nancy Sierra Ferrer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher Student in an Organized Health Care Education/Training Program 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans Student in an Organized Health Care Education/Training Program 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1669081659 Amy Hill Student in an Organized Health Care Education/Training Program 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1558986364 Haley Bosco Doyle Student in an Organized Health Care Education/Training Program 3587 Se Grant St, Portland, OR 97214-5829 2020-06-08
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
Find all providers in PORTLAND

Office Location

Street Address 4522 NE AINSWORTH ST
City PORTLAND
State OR
Zip Code 97218-1322

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043852726 Alex Margarito Specialist/Technologist 6801 Necornfoot Rd, Fpo, AA 97218 2019-10-14
1083101943 Joyce M Larkins Specialist 5852 Ne 42nd Ave., Portland, OR 97218 2018-04-17
1740709658 Alyssa M Cavalier Licensed Practical Nurse 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 2017-09-12
1093266405 Jean Hansen Counselor 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 2016-10-20
1174913636 Kirsten Kelly-chambers Counselor 4310 Ne Killinsworth Street, Portland, OR 97218 2015-02-04
1386962074 Kathleen Kuhlmey Sheridan Nurse Practitioner 5215 Ne 52nd Ave, Portland, OR 97218 2010-05-06
1366676462 Bobbi Gabriele Kennedy Military Health Care Provider 6801 Ne Cornfoot Road, Portland, OR 97218 2009-05-05
1114163714 Michael Brosnan Adult Companion 5029 Ne Killingsworth St, Portland, OR 97218 2009-01-02
1396980751 Jamie Mercile Taylor Counselor 4310 N.e Kilingsworth, Portland, OR 97218 2008-12-12
1902041460 Brandi Danielle Hess Counselor 4450 Ne 76th, Portland, OR 97218 2008-12-11
Find all providers in zip 97218

Competitor

Search similar providers

City PORTLAND
Zip Code 97218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.