Dr. Evan Shereck
Pediatrician Pediatric Hematology-Oncologist
3181 Sw Sam Jackson Park Rd, Mail Code Cdrc-P
Portland
, Oregon 97214
Dr. Evan Shereck
Pediatrician Pediatric Hematology-Oncologist
3181 Sw Sam Jackson Park Rd, Mail Code Cdrc-P
Portland
, Oregon 97214
(503) 494-0714
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Evan Shereck
- 3181 Sw Sam Jackson Park Rd, Mail Code Cdrc-P
- Portland, OR
- Zip : 97214
- Fax : (503) 494-0714
- Phone : (503) 494-0829
Second Address
- Dr. Evan Shereck
- 3181 Sw Sam Jackson Park Rd, Mail Code Cdrc-P
- Portland, OR
- Zip : 97214
- Fax : (503) 494-0714
- Phone : (503) 494-0829
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD152990 | OR |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | MD152990 | OR |
National Provider Identifier
| NPI | 1184742140 |
|---|---|
| Provider Name | Dr. Evan Shereck |
| First Address | Portland, OR 97214 |
| Second Address | Portland, OR 97214 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 10/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 500628915 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.