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NPI Code Detail

MEDICARE: MS. SHANNON CHRISTINE FIFE DO

MEDICARE: MS. SHANNON CHRISTINE FIFE DO
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
1207V00000XObstetrics & Gynecology PhysicianDO26604OR
2207V00000XObstetrics & Gynecology PhysicianDO4315ME

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 : 1639282148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHANNON CHRISTINE FIFE DO
Provider Business Mailing Address
First Line : PO BOX 3158
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3158
Country : US
Telephone Number : 503-215-6494
Fax Number :
Provider Business Practice Location Address
First Line : 940 ROYAL AVE
Second Line : SUITE 350
City : MEDFORD
State : OR
Zip : 97504-6193
Country : US
Telephone Number : 541-732-7460
Fax Number : 541-732-7461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 03/09/2026

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Directions to “ MS. SHANNON CHRISTINE FIFE DO” Practice Location

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