Active NPIIndividual provider

Dr. Shaun L Ageno, MD

Internal Medicine, Cardiovascular Disease in Portland, Oregon

NPI Number1760692529
Practice location
3181 SW Sam Jackson Park RD # Uhn-62, Portland, OR 97239-3011
Fax
—
Last updated
August 18, 2011

Dr. Shaun L Ageno, MD is a Internal Medicine, Cardiovascular Disease based in Portland, OR. Dr. Shaun L Ageno, MD holds the professional credentials of MD. The NPI number for Dr. Shaun L Ageno, MD is 1760692529 and holds license No. MD28797 (OR). The current practice location address is 3181 SW Sam Jackson Park RD # Uhn-62, Portland, OR 97239-3011 and the office can be reached by phone at 503-494-8750. The NPI was assigned on May 23, 2007 and the record was last updated in NPPES on August 18, 2011.

●Provider Profile Details

NPI Number
1760692529
Provider Name
Shaun Lowell Ageno
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Enumeration Date
May 23, 2007
Last Update Date
August 18, 2011
NPI Status
Active

◉Business Practice Location Address

Address
3181 SW Sam Jackson Park RD # Uhn-62
Portland, OR 97239-3011
State
Oregon
ZIP
97239-3011
Country
US
Phone Number
503-494-8750

Get directions →

✉Business Mailing Address

Address
3181 SW Sam Jackson Park RD # Uhn-62
Portland, OR 97239-3011
City
Portland
State
OR
ZIP
97239-3011
Phone Number
503-494-8750

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine, Cardiovascular Disease207RC0000XYesMD28797OR
Internal Medicine, Cardiovascular Disease207RC0000XNoMD.60218223WA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Shaun L Ageno, MD?

The NPI number of Dr. Shaun L Ageno, MD is 1760692529. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Shaun L Ageno, MD?

Dr. Shaun L Ageno, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X) and holds license No. MD28797 (OR).

Where does Dr. Shaun L Ageno, MD practice?

The practice location is 3181 SW Sam Jackson Park RD # Uhn-62, Portland, OR 97239-3011. The office can be reached at 503-494-8750 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760692529 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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