Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANELLE DEANN O'DELL, PA-C
Active Sole ProprietorPhysician Assistant · GRESHAM, OR
Registration Details
- NPI Number
- 1679792816
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2007 (19.003283190424 yrs)
- Last Updated
- Jun 21, 2021
- License
-
PA01195 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
440 NW DIVISION STGRESHAM, OR, 970305506Browse OR providers · Browse ZIP 97030
- Phone
- 5032159500
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| SUSAN E RIVARD-DIBENEDETTO | PA C | 1265493399 |
| SARAH TOWNLEY | P.A-C | 1942244140 |
| ROBERT LOUIS FOX | PA | 1194752014 |
| AARON MICHAEL LIERE | — | 1255352985 |
| MS. BRIDGET JEAN MARICK | PAC | 1487771721 |
| MS. MICHELLE HATCH LINTON | PA | 1003010257 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.