Individual
DR. MICHAEL BRUCE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1763
(503) 216-1750
Mailing address
71 NANSEN SMT, LAKE OSWEGO, OR 97035-1066
(503) 744-0979
(503) 744-0822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12860
OR
208M00000X
Hospitalist Physician
MD12860
OR
Other
Enumeration date
11/06/2006
Last updated
09/11/2025
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