Individual
SHASHIMA NAKAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
(360) 414-2739
Mailing address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD177193
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD60650945
WA
207RC0000X
Cardiovascular Disease Physician
PG171439
OR
Other
Enumeration date
04/06/2010
Last updated
05/01/2023
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