person
Samuel M Shales, MD
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1356907364

Samuel M Shales is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Samuel M Shales practices in Portland, OR and has the professional credentials of MD. The NPI Number for Samuel M Shales is 1356907364 and holds a License No. (Oregon).

The current practice location address for Samuel M Shales is 3101 Sw Sam Jackson Park Road, Portland, OR and can be reached out via phone at 503-221-3424 and via fax at 503-221-3490.

Location: 3101 Sw Sam Jackson Park Road, Portland, OR, 97239
person
Provider Profile Details
NPI Number
1356907364
Provider Name
Samuel M Shales
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3101 Sw Sam Jackson Park Road, Portland, OR, 97239
Phone Number
503-221-3424
Fax Number
503-221-3490
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3101 Sw Sam Jackson Park Road
City
State
Zip
97239
Phone Number
503-221-3424
Fax Number
503-221-3490
person
Provider Business Mailing Address Details
Address
3101 Sw Sam Jackson Park Road
City
State
Zip
97239
Phone Number
503-221-3424
Fax Number
503-221-3490
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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