Provider Demographics
NPI:1720287733
Name:SILVA, SHARON LEE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEE
Last Name:SILVA
Suffix:
Gender:F
Credentials:RN
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 2231
Mailing Address - Street 2:
Mailing Address - City:CAVE JUNCTION
Mailing Address - State:OR
Mailing Address - Zip Code:97523-2231
Mailing Address - Country:US
Mailing Address - Phone:541-287-0136
Mailing Address - Fax:
Practice Address - Street 1:101 JOSEPHINE STREET
Practice Address - Street 2:
Practice Address - City:KERBY
Practice Address - State:OR
Practice Address - Zip Code:97531
Practice Address - Country:US
Practice Address - Phone:541-287-0136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health