NPI 1093177198

Shane Patrick Smith, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Portland, OR

Practice location

Address: 501 N Graham St STE 220, Portland, OR 97227-2014
Phone: (503) 413-6200
Mailing address: PO Box 3777, Portland, OR 97208-3777

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD218976 (OR)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1093177198
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2016
Record last updated: 6 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.