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1578762068
TATYANA EVGENIEVA SHAW
PORTLAND, OR
NPI
1578762068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD29239)
Enumeration Date
2007-07-13
Last Update Date
2023-11-21
Business Address
Dr. TATYANA EVGENIEVA SHAW M.D.
1414 NW NORTHRUP ST STE 600
PORTLAND, OR 97209-2790
Phone number: 503-223-3104
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Mailing Address
Dr. TATYANA EVGENIEVA SHAW M.D.
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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