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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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CLORAN, SHAILYNNE ESTELLE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: OKLAHOMA PAIN MANAGEMENT
3601 NW 138TH ST, STE 200
OKLAHOMA CITY OK 73134

Address last updated on 8/20/2024
Phone #: (405) 242-4100
Fax #:
County: OKLAHOMA
License: 1961
Dated: 4/1/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 2/11/2011
Temp. Ltr. Expires: 4/8/2011
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
OKLAHOMA PAIN MANAGEMENT
3601 NW 138TH ST, STE 200
OKLAHOMA CITY OK 73134

Phone #: (405) 242-4100
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
A.D. BEACHAM III DO 5351
BRETT ALAN BRALY MD 30393
CHRISTOPHER SHANE HUME DO 4199
PAUL JACOB DO 5494
JUSTIN PORTER MD 29694
GARRETT KEITH WRIGHT MD 28696

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