Individual
SHANTI I MOHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
511 SW 10TH AVE, SUITE 907, PORTLAND, OR 97205
(503) 715-1377
(503) 715-2717
Mailing address
511 SW 10TH AVE, SUITE 907, PORTLAND, OR 97205
(503) 715-1377
(503) 715-2717
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2001-264
NM
207VG0400X
Gynecology Physician
Primary
MD192816
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500790363
—
OR
Enumeration date
07/04/2006
Last updated
09/06/2022
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