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Individual

DR. MAHA SABAH SHAKIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17704 JEAN WAY STE 105, LAKE OSWEGO, OR 97035-5586
(503) 387-5546
(503) 908-0747
Mailing address
2557 SOUTHSHORE BLVD, LAKE OSWEGO, OR 97034-5761
(503) 708-8285

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD27868
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024156
MEDICARE
OR
Enumeration date
11/16/2007
Last updated
07/21/2022
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