Provider Demographics
NPI:1043365166
Name:EVERS, SHARON ZERINGUE (ATR)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ZERINGUE
Last Name:EVERS
Suffix:
Gender:F
Credentials:ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 WEIDMAN CT
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-6800
Mailing Address - Country:US
Mailing Address - Phone:503-201-0337
Mailing Address - Fax:
Practice Address - Street 1:599 WEIDMAN CT
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-6800
Practice Address - Country:US
Practice Address - Phone:503-201-0337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR931329205OtherEIN