Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35.129251 | OH |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD188369 | OR |
NPI | 1003105867 |
---|---|
Provider Name | Dr. Tasneem Abbas Shikary |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 19/10/2018 |