Individual
DR. SHERIANN SHIMOGAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8148 SW 54TH AVE, PORTLAND, OR 97219-3205
(971) 221-6343
Mailing address
8148 SW 54TH AVE, PORTLAND, OR 97219-3205
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8589
OR
Other
Enumeration date
01/18/2008
Last updated
11/06/2012
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