Constance F Shadwick, MD
Dermatology in Portland, OR. Individual provider (NPI-1).
NPI number1649385295
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649385295
- Entity type
- Individual (NPI-1)
- Name
- Constance F Shadwick
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | WA MD00036788 | WA | Yes |
Other names
- Constance F Shadwick (Professional Name)
Practice location
3600 N Interstate AvePortland, OR 97227-1106
Phone 503-285-9321
Mailing address
3901 Sw Hamilton StPortland, OR 97221-3605
Phone 503-525-0353
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