Individual
ELIZABETH ROSE SHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 SW VETERANS WAY STE 120, REDMOND, OR 97756-2588
(541) 383-3005
(541) 383-1883
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 418-4500
(503) 418-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301098747
MI
207Q00000X
Family Medicine Physician
Primary
92066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500751068
—
OR
Enumeration date
06/23/2008
Last updated
09/03/2024
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