Provider Demographics
NPI:1225333776
Name:SHEMEL, HOWARD F (NP)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:F
Last Name:SHEMEL
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 PONDEROSA DR.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SUTHERLIN
Mailing Address - State:OR
Mailing Address - Zip Code:97479-2753
Mailing Address - Country:US
Mailing Address - Phone:541-459-3500
Mailing Address - Fax:541-459-4040
Practice Address - Street 1:123 PONDEROSA DR.
Practice Address - Street 2:SUITE 102
Practice Address - City:SUTHERLIN
Practice Address - State:OR
Practice Address - Zip Code:97479-2753
Practice Address - Country:US
Practice Address - Phone:541-459-3500
Practice Address - Fax:541-459-4040
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201050178NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily