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Contact Information

SHELLEY I MCCARGAR, RN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-494-4808
 Fax: 503-494-4743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for SHELLEY I MCCARGAR · (Female)

NPI Number 1558857193
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/06/2018
Last updated 10/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 201042108
  • OR License # 202009377NP-PP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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