Organization
CARDIORENAL VISION FOR OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAN SHAH MD (OWNER)
(503) 334-2332
Entity
Organization
Contact information
Practice address
39 NE 102ND AVE, PORTLAND, OR 97220-4103
(503) 334-2332
(503) 334-2332
Mailing address
PO BOX 516, OREGON, IL 61061-0516
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
02/17/2025
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