MRS. SHANELLE O'DELL, PA-C
Physician Assistant
Active
Individual
NPI: 1679792816
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA01195 (OR) |
Frequently Asked Questions
NPI 1679792816 is the National Provider Identifier for MRS. SHANELLE O'DELL, PA-C, a Physician Assistant provider located in Gresham, OR. This NPI was enumerated on April 25, 2007.
MRS. SHANELLE O'DELL, PA-C practices at 440 NW DIVISION ST, Gresham, OR 97030.
Quick Facts
- NPI
- 1679792816
- Type
- Individual
- Enumerated
- Apr 25, 2007
- Last Updated
- Jun 21, 2021
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