Individual
DR. DAVID SHUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9450 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6619
(503) 292-9560
(503) 292-9510
Mailing address
9450 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6619
(503) 292-9560
(503) 292-9510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14517
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810029008
REGENCE BLUE CROSS
OR
Enumeration date
11/29/2006
Last updated
05/25/2012
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