Shriners Hospitals for Children

NPI #1104314350 in Portland, Oregon

Provider Information

NPI Number: 1104314350
Entity Type: Organization
Organization Name: Shriners Hospitals for Children
Primary Specialty: Anesthesiology
Enumeration Date: Apr 24, 2018
Last Updated: Apr 24, 2018

Practice Location

Address: 3101 SW SAM JACKSON PARK RD
City: Portland
State: Oregon
ZIP Code: 97239-3009
Phone: (503) 241-5090

Authorized Official

Name: JERRY G. GANTT
Title: PRESIDENT
Phone: (813) 281-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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