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Forest Wayne Shira, FNP-C
Family Nurse Practitioner in Roseburg, Oregon
NPI 1689001000

Forest Wayne Shira is a Family Nurse Practitioner based in Roseburg, OR and is specialized in Family. Forest Wayne Shira practices in Roseburg, OR and has the professional credentials of FNP-C. The NPI Number for Forest Wayne Shira is 1689001000 and holds a License No. 201392914NP-PP (Oregon).

The current practice location address for Forest Wayne Shira is 1863 Ne Freemont Ave, Roseburg, OR and can be reached out via phone at 541-733-2230.

Location: 1863 Ne Freemont Ave, Roseburg, OR, 97470-3535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689001000
Provider Name
Forest Wayne Shira
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1863 Ne Freemont Ave, Roseburg, OR, 97470-3535
Phone Number
541-733-2230
Fax Number
Provider Enumeration Date
09/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1863 Ne Freemont Ave
City
Roseburg
State
Oregon
Zip
97470-3535
Phone Number
541-733-2230
Fax Number
person
Provider Business Mailing Address Details
Address
1863 Ne Freemont Ave
City
Roseburg
State
Oregon
Zip
97470-3535
Phone Number
541-733-2230
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201392914NP-PP (Oregon)
Definition
Definition to come...
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