DR. SHAUN LOWELL AGENO (NPI# 1760692529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760692529 |
| Entity Type | Individual |
| Full Name | DR. SHAUN LOWELL AGENO |
| Credential | M.D. |
| Practice Address |
3181 Sw Sam Jackson Park Rd # Uhn-62 Portland OR 97239-3011 |
| Practice Telephone | 5034948750 |
| Mailing Telephone | 5034948750 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.60218223 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD28797 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3181 SW SAM JACKSON PARK RD # UHN-62 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184911463 | Mrinal Yadava | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn-62, Portland, OR 97239 | 2011-07-07 |
| 1437474103 | Shashima Nakahara | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn-62, Oregon Health & Science University, Portland, OR 97239-3011 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1467646125 | Edward A Greco Jr Md | Internal Medicine | 693 Congress Street, Portland, ME 04102 | 2007-09-05 |
| 1437269974 | Hamilton S Gillespie | Internal Medicine | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2006-08-30 |
| 1508874058 | Craig Stanford Broberg | Internal Medicine | 3181 Sw Sam Jackson Pk Rd, Uhn 62 Division of Cardiology, Portland, OR 97239 | 2006-08-03 |
| 1255348058 | George David Giraud | Internal Medicine | 3710 Sw Us Veterans Road, Portland Va Medical Center, P3 Card, Portland, OR 97207-1034 | 2006-08-02 |
| 1063445880 | Edward Greco | Internal Medicine | 693 Congress St, Portland, ME 04102-3303 | 2006-07-07 |
| 1639109044 | George Quentin Hamilton | Internal Medicine | 8305 Se Monterey Ave, #105, Portland, OR 97086-7725 | 2006-07-03 |
| 1164498499 | Jason Roland Wollmuth | Internal Medicine | 1111 Ne 99th Ave Ste 201, Portland, OR 97220-9442 | 2006-02-27 |
| 1801862255 | Nandita Chaturvedi Gupta | Internal Medicine | 3303 Sw Bond Ave Ste 9, Portland, OR 97239-4501 | 2006-02-26 |
| 1083686554 | Sellwood Medical Clinic | Internal Medicine | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-02-07 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.