Provider Demographics
NPI:1467789453
Name:DUGGAN, SHARON FROST (MSN, FNP)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:FROST
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:FROST
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 6149
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97007-0149
Mailing Address - Country:US
Mailing Address - Phone:503-359-5564
Mailing Address - Fax:
Practice Address - Street 1:1151 N. ADAIR ST.
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:OR
Practice Address - Zip Code:97113-8900
Practice Address - Country:US
Practice Address - Phone:503-359-5564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200950151NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily