Individual
DR. SHINPEI SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 SW GAINES ST, MAIL CODE: CDRCP, PORTLAND, OR 97239-2901
(503) 494-1544
Mailing address
1200 NW MARSHALL ST, STE 4340, PORTLAND, OR 97209-3165
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
154527
OR
2080P0203X
Pediatric Critical Care Medicine Physician
21500017
CA
Other
Enumeration date
12/14/2010
Last updated
08/09/2011
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