Individual
SHIRIN DORATOTAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2042
(503) 413-2566
Mailing address
9724 NW FLEISCHNER ST, PORTLAND, OR 97229-8482
(503) 292-0550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD26912
OR
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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