Individual
MRS. ALICIA D SHEPROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6101
Mailing address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00407
OR
Other
Enumeration date
08/15/2006
Last updated
02/04/2010
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