Provider Demographics
NPI:1497831481
Name:SHAUL, MURIEL P (ANP)
Entity Type:Individual
Prefix:
First Name:MURIEL
Middle Name:P
Last Name:SHAUL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 986
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:OR
Mailing Address - Zip Code:97883-0986
Mailing Address - Country:US
Mailing Address - Phone:541-562-6062
Mailing Address - Fax:541-562-5757
Practice Address - Street 1:142 E DEARBORN
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:OR
Practice Address - Zip Code:97886-0986
Practice Address - Country:US
Practice Address - Phone:541-562-6062
Practice Address - Fax:541-562-5757
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR139449Medicaid
ORP25397Medicare UPIN
OR139449Medicaid