Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 248961 | NY |
N | 207RH0003X | Hematology & Oncology | MD161625 | OR |
NPI | 1023296126 |
---|---|
Provider Name | Dr. Ryo A. Shohara |
First Address | Portland, OR 97227-1106 |
Second Address | Portland, OR 97227-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 04/02/2022 |