SAMUEL M SHALES

PORTLAND, OR
NPI1356907364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-15
Last Update Date2020-01-03
Business Address
SAMUEL M SHALES M.D.
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 503-221-3424
Mailing Address
SAMUEL M SHALES M.D.
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 503-221-3424