IndividualActive
Shauna Ellison, ABOC
NPI 1992519060 · Optician · Mcminnville, OR
Provider details
- NPI number
- 1992519060
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- ABOC
- Sex
- Female
- Sole proprietor
- No
- License
- 228441 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2375 Ne Highway 99w
Mcminnville, OR 97128-9201
Phone: (503) 434-1183
Fax: (503) 472-7433
Approximate (ZIP-level) locationGet directions
Mailing address
2375 Ne Highway 99w
Mcminnville, OR 97128-9201
Registry dates
- Enumerated
- 2025-02-06
- Last updated
- 2025-02-06
- Certified
- 2025-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.