Individual
MAUREEN SHENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12672 NW BARNES RD STE 100, PORTLAND, OR 97229-6191
(503) 644-7434
Mailing address
640 SW HUME ST, PORTLAND, OR 97219-4474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00971
OR
363A00000X
Physician Assistant
PA10004214
WA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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