Individual
SEAN EUGENE SHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6101
(503) 494-1159
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6101
(503) 494-1159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD165964
OR
208M00000X
Hospitalist Physician
Primary
MD165964
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A117973
LICENSE
CA
Enumeration date
09/01/2010
Last updated
06/27/2025
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