Individual
DR. MAYA SHAMSUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
1020 SE 60TH AVE APT 103, PORTLAND, OR 97215-2844
(541) 279-4290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6115
OR
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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