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NPI Code Detail

MEDICARE: SHAMEY A KASSIM MD

MEDICARE: SHAMEY A KASSIM 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245172170
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMEY A KASSIM MD
Provider Business Mailing Address
First Line : 5050 NE HOYT ST STE 540
Second Line :
City : PORTLAND
State : OR
Zip : 97213-2985
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5050 NE HOYT ST STE 540
Second Line :
City : PORTLAND
State : OR
Zip : 97213-2985
Country : US
Telephone Number : 503-215-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ SHAMEY A KASSIM MD” Practice Location

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