Shen, Irving

Shen, Irving is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mail Code: Dc-8S, Portland OR 97239-3011. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Shen, Irving can be contacted via phone (503) 418-5443.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mail Code: Dc-8S Portland OR 97239-3011
Phone: (503) 418-5443
Fax: (503) 418-1385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101240637 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101240637 Virginia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD169191 Oregon

Profile Details

NPI number 1396836268
LBN Legal business name Shen, Irving
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396836268 NPPES
Oregon MEDICAID 500676173
Oregon Other R1766591

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