Shannon Hummel, APRN, PMHNP-BC | |
535 Se Washington St, Hillsboro, OR 97123-4142 | |
(503) 755-6703 | |
(503) 755-6704 |
Full Name | Shannon Hummel |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 535 Se Washington St, Hillsboro, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043959372 | NPI | - | NPPES |
RN139359 | Other | GA | APRN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10024106 (Oregon) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN139359 (Georgia) | Secondary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Shannon Hummel, APRN, PMHNP-BC 5965 Parkway North Blvd Ste C, Cumming, GA 30040-1431 Ph: (770) 886-5700 | Shannon Hummel, APRN, PMHNP-BC 535 Se Washington St, Hillsboro, OR 97123-4142 Ph: (503) 755-6703 |
Mrs. Christine Marie Douglas, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704 | |
Tina M Barber, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19075 Nw Tanasbourne Dr, Suit 200, Hillsboro, OR 97124 Phone: 503-684-8252 | |
Timothy Charles Kruth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861 Fax: 503-848-5863 | |
Ms. Kathryn Rose Van Beeck, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
Margaret Wittenauer-lee, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave Suite 5550, Hillsboro, OR 97123 Phone: 503-681-4273 | |
Patricia Hazel Glazier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4660 Ne Belknap Ct, Suite 109, Hillsboro, OR 97124 Phone: 503-693-1944 Fax: 503-693-1941 |