Individual provider · Type 1 NPI

Samuel M. Shales, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1356907364 Active

Practice location

3101 SW Sam Jackson Park Road
Portland, OR 97239

Call (503) 221-3424 Map

Fax (503) 221-3490

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356907364

Samuel M. Shales, MD's National Provider Identifier is 1356907364, issued on May 15, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jan 3, 2020.