Individual
SHIKHI BHANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210-2969
(503) 413-8988
Mailing address
1926 FAIRVIEW AVE E APT 212, SEATTLE, WA 98102-3649
(312) 659-9644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO214842
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2018
Last updated
07/05/2023
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