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Maryann M. Shango, MD
Hematology & Oncology Physician in Tigard, Oregon
NPI 1942593876

Maryann M. Shango is a Hematology & Oncology Physician based in Tigard, OR and is specialized in Hematology & Oncology. Maryann M. Shango practices in Tigard, OR and has the professional credentials of MD. The NPI Number for Maryann M. Shango is 1942593876 and holds a License No. 4301098522 (Oregon).

The current practice location address for Maryann M. Shango is 12123 Sw 69Th Ave, Tigard, OR and can be reached out via phone at 971-708-7600 and via fax at 971-371-5230. You can also correspond with Maryann M. Shango through the mailing address at 12123 SW 69TH AVE, TIGARD, OR - 97223-8514 (mailing address contact number: 971-708-7600).

Location: 12123 Sw 69Th Ave, Tigard, OR, 97223-8514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942593876
Provider Name
Maryann M. Shango
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12123 Sw 69Th Ave, Tigard, OR, 97223-8514
Phone Number
971-708-7600
Fax Number
971-371-5230
Provider Enumeration Date
05/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12123 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-8514
Phone Number
971-708-7600
Fax Number
971-371-5230
person
Provider Business Mailing Address Details
Address
12123 Sw 69Th Ave
City
Tigard
State
Oregon
Zip
97223-8514
Phone Number
971-708-7600
Fax Number
971-371-5230
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD60739968 (Washington)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301098522 (Michigan)
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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