Individual
PHILIP SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 241-7419
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 241-7419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD14234
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102681
—
OR
Enumeration date
07/31/2006
Last updated
02/01/2018
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