Individual provider · Type 1 NPI

Shaylene Tamara Waggoner, BSN, RN

Registered Nurse · Gresham, OR

NPI number 1669017513 Active

Practice location

4101 NE Division St
Gresham, OR 97030-4617

Call (503) 666-6575 Map

Fax (503) 666-4047

Mailing address

12207 NE 116th St
Vancouver, WA 98682-2040

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X201905089RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1669017513

Shaylene Tamara Waggoner, BSN, RN's National Provider Identifier is 1669017513, issued on Nov 14, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Gresham, OR. The record was last updated on Nov 14, 2019.