Individual
YASHA ANNAH SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, N.D.
Contact information
Practice address
1130 NW 22ND AVE STE 630, PORTLAND, OR 97210-2977
(503) 413-5600
Mailing address
1130 NW 22ND AVE STE 630, PORTLAND, OR 97210-2977
(503) 413-6912
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
3085
OR
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
09/30/2022
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