Shaina Marie Sullivan

Optometrist · Beaverton, OR

Individual Active NPI

NPI number 1730644790

Practice location

12370 SW 1st St
Beaverton, OR 97005-2847
Phone
(503) 644-3614

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NPI record

NPI
1730644790
Entity type
Individual (Type 1)
Enumeration date
February 4, 2019
Last updated
July 19, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4434ATI OR

Mailing address

10095 NW Curtis St
North Plains, OR 97133-8201
Phone
(971) 227-3630

About Shaina Sullivan

Shaina Marie Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 12370 SW 1st St, Beaverton, OR 97005-2847. The NPI number 1730644790 was assigned on February 4, 2019 and the record was last updated on July 19, 2019.

Shaina Sullivan lists a license in the registry: #4434ATI (OR) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shaina Marie Sullivan?

The NPI number is 1730644790.

What is the phone number of Shaina Sullivan?

The phone number listed for the practice location is (503) 644-3614.

Where is Shaina Sullivan located?

12370 SW 1st St, Beaverton, OR 97005-2847.

What is the taxonomy code for Shaina Sullivan?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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