Individual provider · Type 1 NPI

Brendon J. Shibley

Family Nurse Practitioner · Lake Oswego, OR

NPI number 1124833363 Active

Practice location

4823 Meadows Rd Ste 127
Lake Oswego, OR 97035-2622

Call (888) 227-3312 Map

Mailing address

PO Box 31001
Pasadena, CA 91110-4141

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10048657 (WA)
Family Nurse Practitioner 363LF0000X237599 (AZ)

Family Nurse Practitioner: Definition to come...

Another provider at this address

Other family nurse practitioner providers in Lake Oswego

See all in Lake Oswego →

About NPI 1124833363

Brendon J. Shibley's National Provider Identifier is 1124833363, issued on Feb 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Oswego, OR. The record was last updated on Aug 24, 2026.