Individual
MARYANN M. SHANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
(971) 371-5230
Mailing address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
(971) 371-5230
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
4301098522
MI
207RH0003X
Hematology & Oncology Physician
Primary
MD198359
OR
207RH0003X
Hematology & Oncology Physician
MD60739968
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301098522
MI
Other
Enumeration date
05/25/2011
Last updated
11/20/2025
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