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NPI Code Detail

MEDICARE: PHILIP SHAPIRO MD

MEDICARE: PHILIP SHAPIRO 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
12084P0800XPsychiatry PhysicianMD14234OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730195959
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP SHAPIRO MD
Provider Business Mailing Address
First Line : 232 NW 6TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3609
Country : US
Telephone Number : 503-294-1681
Fax Number : 503-241-7419
Provider Business Practice Location Address
First Line : 232 NW 6TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3609
Country : US
Telephone Number : 503-294-1681
Fax Number : 503-241-7419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 02/01/2018

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Directions to “ PHILIP SHAPIRO MD” Practice Location

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