Individual
DR. SHAGUFTA A HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15280 NW CENTRAL DR, STE 204, PORTLAND, OR 97229-7805
(503) 531-3858
(503) 617-9991
Mailing address
15280 NW CENTRAL DR, STE 204, PORTLAND, OR 97229-7805
(503) 531-3858
(503) 617-9991
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD20989
OR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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