Individual provider · Type 1 NPI
Shiney Isaac, MD
Student in an Organized Health Care Education/Training Program · Portland, OR
Practice location
3181 Sam Jackson Park Rd., Ohsu Dept Of Surgery L223
Portland, OR 97239-3098
Mailing address
3181 Sam Jackson Park Road, Ohsu Dept Of Surgery -Code L223
Portland, OR 97239-3098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 18081 (OR) |
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 1639324882
Shiney Isaac, MD's National Provider Identifier is 1639324882, issued on Dec 1, 2008. 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 Dec 1, 2008.