Provider Demographics
NPI:1871930750
Name:FRANK, SHARON RUTH (RN, LCSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:RUTH
Last Name:FRANK
Suffix:
Gender:F
Credentials:RN, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2960
Mailing Address - Street 2:APS HEALTHCARE
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062
Mailing Address - Country:US
Mailing Address - Phone:503-885-5122
Mailing Address - Fax:
Practice Address - Street 1:7668 SW MOHAWK ST.
Practice Address - Street 2:APS HEALTHCARE
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062
Practice Address - Country:US
Practice Address - Phone:503-885-5122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL52481041C0700X
OR201141052RN163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical