Individual
RUPA KIRIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015-6841
(503) 659-1694
(503) 659-8984
Mailing address
9290 SE SUNNYBROOK BLVD, SUITE 200, CLACKAMAS, OR 97015-6777
(503) 659-1694
(503) 659-8984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD14153
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104422
—
OR
Enumeration date
06/21/2006
Last updated
04/16/2020
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