NPI 1003493479

Shana Axthelm

Practitioner Adult Companion Portland, OR

Practice location

Address: 847 NE 19th Ave, Portland, OR 97232-2684
Phone: (503) 760-9606

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

Other Adult Companion providers in Oregon →

Registry record

NPI: 1003493479
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2021
Record last updated: 24 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.