Individual
DR. SANDEEP HASMUKH MASHRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 528-7449
(503) 331-6505
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD25218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022644
—
OR
01
—
10-31-2006
NBMC - TERMINATION DATE
OR
Enumeration date
12/09/2005
Last updated
02/14/2022
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