Individual
DR. EVAN FOSTER SHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD182332
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD182332
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
07/31/2020
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