Individual
DR. SONIA SHISHIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MID COLUMBIA MEDICAL CENTER, OPERATING ROOMS, 1700 EAST 19TH STREET, THE DALLES, OR 97058-9705
(541) 296-1111
Mailing address
10619 S JORDAN GTWY # 300, SOUTH JORDAN, UT 84095-3969
(888) 543-8228
(770) 701-6673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO161659
OR
207R00000X
Internal Medicine Physician
R1695
AZ
Other
Enumeration date
06/09/2009
Last updated
12/15/2021
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