Dr SHAYNE MAHEALANI AHWAH is a female medical professional, specializing in Physician Assistant. She graduated in 2017.
OREGON CLINIC PC
4805 NE GLISAN
PORTLAND
OR
972132933
Tel:
| Npi | 1790273811 |
| Pac Id | 0840554408 |
| Professional Enrollment Id | I20180507001548 |
| Last Name | AHWAH |
| First Name | SHAYNE |
| Middle Name | MAHEALANI |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | OREGON CLINIC PC |
| Group Practice Pac Id | 2860390408 |
| Number Of Group Practice Members | 275 |
| Line 1 Street Address | 4805 NE GLISAN |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | PORTLAND |
| State | OR |
| Zip Code | 972132933 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 380061 |
| Hospital Affiliation Lbn 1 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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