Individual provider · Type 1 NPI

Cary M. Shore, DNP-PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1346765880 Active

Practice location

555 SE Mlk Jr Blvd Unit 105
Portland, OR 97214-2595

Fax (503) 386-3230

Mailing address

3055 NW Yeon Ave Suite 606
Portland, OR 97210

Other practice locations

  • 701 NE 136th Ave Ste 200, Vancouver, WA 98684-6937 · (503) 664-9451

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2017010049 (WA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201903897NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1346765880

Cary M. Shore, DNP-PMHNP's National Provider Identifier is 1346765880, issued on Aug 6, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Dec 3, 2024.