Most Relevant Information
Provider Data
| NPI Number: | 1003492000 |
| Provider Name: | SHIRA PERESS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | MD217959 |
Most Important Dates
| Enumeration Date: | 03/20/2021 |
| Last Updated: | 07/31/2024 |
Provider Practice Location
3181 SW SAM JACKSON PARK ROAD
PORTLAND
OR
97239
Practice Location Phone/Fax
| Phone: | 5034948211 |
| Fax: |
Provider Mailing Location
3181 SW SAM JACKSON PARK ROAD
PORTLAND
OR
97239
Provider Mailing Phone/Fax
| Phone: | 5034948211 |
| Fax: |
Suggested EMR
Internist EMR