Individual
SHYAM RAJAN JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-4300
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD189727
OR
207R00000X
Internal Medicine Physician
MD189727
OR
Other
Enumeration date
05/30/2013
Last updated
08/16/2018
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