Individual
DR. ANDREW BRYANT SHINABARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE #130, PORTLAND, OR 97227-1630
(503) 413-2005
(503) 413-3699
Mailing address
2800 N VANCOUVER AVE, SUITE #130, PORTLAND, OR 97227-1630
(503) 413-2005
(503) 413-3699
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
DP164562
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
PO60402238
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006229
PA
Other
Enumeration date
06/30/2010
Last updated
09/29/2014
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