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1720268618
MITAL SHAH
PORTLAND, OR
NPI
1720268618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA189433)
Enumeration Date
2007-11-07
Last Update Date
2020-08-03
Business Address
Mrs. MITAL SHAH M.M.S,.P.A-C
9427 SW BARNES RD STE 495
PORTLAND, OR 97225
Phone number: 503-216-1661
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Mailing Address
Mrs. MITAL SHAH M.M.S,.P.A-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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