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1356907364
SAMUEL M SHALES
PORTLAND, OR
NPI
1356907364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-15
Last Update Date
2020-01-03
Business Address
SAMUEL M SHALES M.D.
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 503-221-3424
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Mailing Address
SAMUEL M SHALES M.D.
3101 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 503-221-3424
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