Individual
KAMAL G SHAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 SE MAIN ST, SUITE 11, PORTLAND, OR 97216-2937
(503) 253-2248
(503) 252-5166
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD18838
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064134
—
OR
05
—
8160491
—
WA
Enumeration date
04/19/2006
Last updated
07/08/2007
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