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1245595206
SUBHECHCHHA SHAH
MEDFORD, OR
NPI
1245595206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD170812)
Enumeration Date
2012-07-05
Last Update Date
2022-05-03
Business Address
SUBHECHCHHA SHAH MD
965 ELLENDALE DR
MEDFORD, OR 97504-8215
Phone number: 541-732-6000
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Mailing Address
SUBHECHCHHA SHAH MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-7950
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