Organization
SAMUEL G SHILEY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL G SHILEY MD (OWNER)
(503) 229-8455
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE #622, PORTLAND, OR 97210-3033
(503) 229-8455
Mailing address
2222 NW LOVEJOY ST, SUITE #622, PORTLAND, OR 97210-3033
(503) 229-8455
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD25260
OR
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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