Individual
RASHMI CHANDEKAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9555 SW BARNES RD STE 150, PORTLAND, OR 97225-6691
(503) 297-3384
(503) 297-0863
Mailing address
9555 SW BARNES RD STE 150, PORTLAND, OR 97225-6691
(503) 297-3384
(503) 297-0863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101246757
VA
207R00000X
Internal Medicine Physician
4301088351
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101246757
VA
207RR0500X
Rheumatology Physician
Primary
MD167809
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0000WCPHR
MEDICARE PROVIDER NUMBER
OR
Enumeration date
07/28/2007
Last updated
02/10/2021
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