Individual
SHANTI BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
Mailing address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD198728
OR
Other
Enumeration date
04/18/2017
Last updated
09/10/2020
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