Individual provider · Type 1 NPI

Shinpei Shibata, MD

Pediatric Critical Care Medicine Physician · Portland, OR

NPI number 1609179639 Active

Practice location

707 SW Gaines St, Mail Code: Cdrcp
Portland, OR 97239-2901

Call (503) 494-1544 Map

Mailing address

1200 NW Marshall St, Ste 4340
Portland, OR 97209-3165

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician 2080P0203X21500017 (CA)
Pediatric Critical Care Medicine Physician Primary 2080P0203X154527 (OR)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1609179639

Shinpei Shibata, MD's National Provider Identifier is 1609179639, issued on Dec 14, 2010. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Portland, OR. The record was last updated on Aug 9, 2011.