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NPI Code Detail

MEDICARE: HANIA SHAKALIA

MEDICARE: HANIA SHAKALIA
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
1363A00000XPhysician AssistantPA227870OR

General Provider Information

NPI Number : 1851175806
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANIA SHAKALIA
Provider Business Mailing Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3098
Country : US
Telephone Number : 503-494-8311
Fax Number :
Provider Business Practice Location Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3098
Country : US
Telephone Number : 503-494-8311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2023
Last Update Date : 04/06/2026

Similar Medicare Providers

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1790627404 — BRIELLE VANESSA GOLDSTEIN MD
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Directions to “ HANIA SHAKALIA ” Practice Location

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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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