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Organization

RUPA K. SHAH, MD, PC

Active
Other names
Oregon Pediatrics-Clackamas
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RUPA KIRIT SHAH MD (COMPANY PRESIDENT MEDICAL DIRECTOR)
(503) 659-1694
Entity
Organization

Contact information

Practice address
8645 SE SUNNYBROOK BLVD #200, CLACKAMAS, OR 97015-6841
(503) 659-1694
(503) 659-8984
Mailing address
8645 SE SUNNYBROOK BLVD #200, CLACKAMAS, OR 97015-6841
(503) 659-1694
(503) 659-8984

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287686
OR
Enumeration date
06/21/2006
Last updated
07/30/2024
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