Individual
DR. AMIT RAJNI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-3674
(503) 988-5180
Mailing address
421 SW OAK ST, 2ND FLOOR, PORTLAND, OR 97204-1817
(503) 988-3674
(503) 988-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22478
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287941
—
OR
Enumeration date
01/17/2007
Last updated
10/27/2011
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