Dr SHAUN L AGENO is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 2004 from New York University School Of Medicine.
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
972393011
Tel: 5034948311
| Npi | 1760692529 |
| Pac Id | 4183776909 |
| Professional Enrollment Id | I20090708000706 |
| Last Name | AGENO |
| First Name | SHAUN |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CARDIAC ELECTROPHYSIOLOGY |
| Organization Legal Name | UNIVERSITY PROFESSIONAL SERVICES |
| Group Practice Pac Id | 4880760107 |
| Number Of Group Practice Members | 1214 |
| Line 1 Street Address | 3181 SW SAM JACKSON PARK RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PORTLAND |
| State | OR |
| Zip Code | 972393011 |
| Phone Number | 5034948311 |
| Hospital Affiliation Ccn 1 | 500041 |
| Hospital Affiliation Lbn 1 | PEACHEALTH ST JOHN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380009 |
| Hospital Affiliation Lbn 2 | OHSU HOSPITAL |
| Hospital Affiliation Ccn 3 | 500019 |
| Hospital Affiliation Lbn 3 | PROVIDENCE CENTRALIA HOSPITAL |
| Hospital Affiliation Ccn 4 | 500050 |
| Hospital Affiliation Lbn 4 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 381320 |
| Hospital Affiliation Lbn 5 | COLUMBIA MEMORIAL HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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