Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD18070 | OR |
N | 207VX0000X | Obstetrician | MD18070 | OR |
NPI | 1154362291 |
---|---|
Provider Name | Sheryl L Norris |
First Address | Redmond, OR 97756-0400 |
Second Address | Redmond, OR 97756-1357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 05/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11133026 | CAQH ID (01) | OR |
116272 | (05) | OR |