Individual
DR. ERIC NICHOLAS SHAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 813-2000
Mailing address
3236 SE TAYLOR ST, PORTLAND, OR 97214-4271
(260) 602-6130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD156656
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2010
Last updated
05/30/2018
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