Provider Demographics
NPI:1134364524
Name:KARN, SHARON VADEN (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:VADEN
Last Name:KARN
Suffix:
Gender:F
Credentials:PMHNP-BC
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 2272
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97308-2272
Mailing Address - Country:US
Mailing Address - Phone:503-951-2376
Mailing Address - Fax:503-689-8050
Practice Address - Street 1:780 COMMERCIAL ST SE
Practice Address - Street 2:SUITE 103
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3465
Practice Address - Country:US
Practice Address - Phone:503-951-2376
Practice Address - Fax:503-689-8050
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1022652363LP0808X
WAAP 60328599363LP0808X
OR201402104NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health