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1447493796

NPI Code Detail

MEDICARE: DR. SHARA ANN BETITO CABRERA M.D.

MEDICARE: DR. SHARA ANN BETITO CABRERA M.D.

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
1	207RI0200X	Infectious Disease Physician	2014-00917	NC
2	207RI0200X	Infectious Disease Physician	MD182441	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1447493796	OTHER	NC	VA MCAID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4193036	OTHER	NC	AETNA
4	5059274	OTHER	NC	UNITED HEALTHCARE
5	1447493796	OTHER	NC	TRICARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1861L	OTHER	NC	BCBS
8	280968	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1447493796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARA ANN BETITO CABRERA M.D.

Provider Business Mailing Address
First Line	:	875 OAK ST SE STE 4030
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-3984
Country	:	US
Telephone Number	:	503-561-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	3025 RYAN DR SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-5057
Country	:	US
Telephone Number	:	503-540-9999
Fax Number	:	503-540-3105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2009
Last Update Date	:	02/22/2024

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Directions to “ DR. SHARA ANN BETITO CABRERA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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