Shango, Maryann M.

Shango, Maryann M. is an sole proprietor health care provider with primary practice located at 12123 Sw 69Th Ave , Tigard OR 97223-8514. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Shango, Maryann M. can be contacted via phone (971) 708-7600.

Contact Information

Primary practice address
12123 Sw 69Th Ave Tigard OR 97223-8514
Phone: (971) 708-7600
Fax: (971) 371-5230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301098522 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD60739968 Washington
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD198359 Oregon

Profile Details

NPI number 1942593876
LBN Legal business name Shango, Maryann M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2011
Last updated Nov 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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