Individual
DR. SHARON RENEE MIRARCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE ROAD, KAISER SUNNYSIDE MEDICAL CENTER, CLACKAMAS, OR 97015
(503) 652-2880
(310) 388-3029
Mailing address
10180 SE SUNNYSIDE ROAD, KAISER SUNNYSIDE MEDICAL CENTER, CLACKAMAS, OR 97015
(503) 652-2880
(310) 388-3029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35085750
OH
2085R0202X
Diagnostic Radiology Physician
Primary
MD28426
OR
2085R0202X
Diagnostic Radiology Physician
MD428648
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020379600001
—
PA
01
—
MI422032
MEDICARE PTAN
OH
Enumeration date
07/18/2006
Last updated
12/10/2008
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