Individual
DR. SHANA G. KUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE EM-CDRW, PORTLAND, OR 97239-3011
(503) 818-4381
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE CB 550, PORTLAND, OR 97239-3011
(503) 418-4885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD154163
OR
Other
Enumeration date
08/28/2007
Last updated
01/19/2016
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