Individual
DR. LEONIE A OOSTROM-SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
1747 E 55TH ST APT 3E, CHICAGO, IL 60615-5958
(509) 987-6555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD214185
OR
Other
Enumeration date
03/27/2020
Last updated
06/08/2023
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