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NPI Profile for SHAYNE M AHWAH in BEAVERTON, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1790273811 |
|
| Status | Active | |
| Credentials | PAC | |
| Entity | Individual | |
| Enumeration date | 04/24/2018 | |
| Last updated | 05/11/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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SHAYNE M AHWAH
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SHAYNE M AHWAH, PAC