Individual
STEVEN SHANAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD214785
OR
207R00000X
Internal Medicine Physician
ME153572
FL
208M00000X
Hospitalist Physician
MD214785
OR
Other
Enumeration date
04/03/2018
Last updated
07/15/2025
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