Individual
JIAN SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PROVIDENCE PORTLAND MEDICAL CENTER, 4805 NE GLISAN ST., PORTLAND, OR 97213-9721
(503) 215-2218
Mailing address
17610 BROOKHURST DR, LAKE OSWEGO, OR 97034-5097
(781) 883-6391
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
228443
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD150260
OR
Other
Enumeration date
09/05/2006
Last updated
01/09/2023
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