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Contact Information

SHANIK J FERNANDO, MD
9427 SW BARNES RD STE 395
PORTLAND, OR97225-6652
 Phone: 503-216-6050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SHANIK J FERNANDO · (Male)

NPI # 1538514179
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2016
Last updated 10/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD209961
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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