Individual
SHILAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12675 NW CORNELL RD, PORTLAND, OR 97229-5886
(503) 459-3740
Mailing address
12675 NW CORNELL RD, PORTLAND, OR 97229-5886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020567
OR
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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