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NPI Code Detail

MEDICARE: DR. SHIMI SHARIEF MD

MEDICARE:  DR. SHIMI  SHARIEF  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianA130856CA
2207R00000XInternal Medicine PhysicianMD197050OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A130856OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1013238302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIMI SHARIEF MD
Provider Business Mailing Address
First Line : 12121 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97216-3737
Country : US
Telephone Number : 971-361-7700
Fax Number : 503-954-1095
Provider Business Practice Location Address
First Line : 12121 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97216-3737
Country : US
Telephone Number : 408-338-8207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2010
Last Update Date : 06/27/2025

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Directions to “ DR. SHIMI SHARIEF MD” Practice Location

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