Individual
DR. SHARA ANN BETITO CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3025 RYAN DR SE, SALEM, OR 97301-5057
(503) 540-9999
(503) 540-3105
Mailing address
875 OAK ST SE STE 4030, SALEM, OR 97301-3984
(503) 561-6444
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2014-00917
NC
207RI0200X
Infectious Disease Physician
Primary
MD182441
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447493796
VA MCAID
NC
05
—
1447493796
—
NC
01
—
1861L
BCBS
NC
01
—
280968
MEDCOST
NC
01
—
4193036
AETNA
NC
01
—
5059274
UNITED HEALTHCARE
NC
01
—
Q0091R
SC MEDICAID
NC
Enumeration date
04/16/2009
Last updated
02/22/2024
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