Look up the most recent NPI and PECOS records

Gayle Lauren Shears

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as GAYLE SHEARS.

Based on the most recent information from CMS, provider Gayle Lauren Shears is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1093140550
Provider Type
Individual
Full Name
Shears, Gayle Lauren
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/3/2013
Last Updated
2/1/2021

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7551

(503) 494-4997

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7551

(503) 494-4997

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 181283 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 002442 Iowa

Gayle Lauren Shears

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Egan, Lisa Anne

Keranen, Katharine J

Bush, Lisa D

Mallon, Michael Dean

Smith, Parrish

Ahmad, Zoha

Schulzetenberg, Briana

Wright, Jessica Lesley

Felder, Kimberly Kay

Owens, Gabriel P