Individual
MS. PRIYANKA SHAH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 1ST AVE STE 3A, LONGVIEW, WA 98632-3271
(360) 636-4469
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
270776
MA
207Y00000X
Otolaryngology Physician
Primary
MD60840702
WA
Other
Enumeration date
04/26/2012
Last updated
09/21/2018
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