Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD197050 | OR |
Y | 111NI0900X | Internist | MD197050 | OR |
N | 207RN0300X | Nephrologist | A130856 | CA |
NPI | 1013238302 |
---|---|
Provider Name | Dr. Shimi Sharief |
First Address | Portland, OR 97216-3737 |
Second Address | Portland, OR 97216-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 23/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A130856 | MEDICAL LICENSE (01) | CA |