Individual
DR. SHAUN LOWELL AGENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # UHN-62, PORTLAND, OR 97239-3011
(503) 494-8750
Mailing address
3181 SW SAM JACKSON PARK RD # UHN-62, PORTLAND, OR 97239-3011
(503) 494-8750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.60218223
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD28797
OR
Other
Enumeration date
05/23/2007
Last updated
08/18/2011
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