NPI 1538631692
Nicole Skye Shockley
Practice location
- Address
- 625 NE Galloway St, McMinnville, OR 97128-3933
- Phone
- (503) 434-7523
- Mailing address
- 629 NW Cypress St, McMinnville, OR 97128-5202
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1538631692
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Dec 2018
- Record last updated
- 28 Dec 2018
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.