# TESS ISH-SHALOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952706137
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO193240 | OR | Yes |
| 207Q00000X | Family Medicine Physician | OL60660055 | WA | — |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 10/01/2025