SHANIK J FERNANDO

PORTLAND, OR
NPI1538514179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YP0228X Otolaryngology, Pediatric Otolaryngology
(Licence: OR  MD209961)
Enumeration Date2016-05-02
Last Update Date2022-10-27
Business Address
SHANIK J FERNANDO MD
9427 SW BARNES RD STE 395
PORTLAND, OR 97225-6652
Phone number: 503-216-6050
Mailing Address
SHANIK J FERNANDO MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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