Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD181485 | OR |
N | 207RH0003X | Hematology & Oncology | MD181485 | OR |
NPI | 1144589268 |
---|---|
Provider Name | Dr. Joseph James Shatzel |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2012 |
Last Update Date | 16/07/2018 |