Lee W Shershow (NPI# 1003898669, PAC ID# 6406037852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1003898669 |
| PAC ID by PECOS | 6406037852 |
| Professional Enrollment ID | I20110218000271 |
| Full Name | Lee W Shershow |
| Address |
2153 Sw Main St Suite 201 Portland OR 97205-1124 |
| Phone Number | 5032431422 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2153 Sw Main St, Suite 201, Portland, OR 97205-1124 | 5032431422 |
| Street Address |
2153 SW MAIN ST SUITE 201 |
| City | PORTLAND |
| State | OR |
| Zip | 97205-1124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Vincent Gosselin | Diagnostic Radiology | Stephen W Brown and Radiology Associates of Augusta LLP | 2350 Sw Madison St, Portland, OR 97205-1025 |
| Katharine M Doel | Clinical Social Worker | 2188 Sw Park Pl, Suite 201, Portland, OR 97205-1100 | |
| Thomas W Dodson | Psychiatry | 2187 Sw Main St, Suite 102, Portland, OR 97205-1123 | |
| Jennifer A Stolz | Psychologist, Clinical | 909 Sw Saint Clair Ave, Portland, OR 97205-1300 | |
| Charles G Bellville | Psychiatry | 909 Sw Saint Clair Ave, Portland, OR 97205-1300 | |
| Bowen Stewart Parsons | Psychiatry | 909 Sw Saint Clair Ave, Portland, OR 97205-1300 | |
| Mary E Leone | Nurse Practitioner | Outside In | 1132 Sw 13th Ave, Portland, OR 97205-1703 |
| Susan E Strom | Chiropractic | Outside In | 1132 Sw 13th Ave, Portland, OR 97205-1703 |
| Karlyn M Nieland | Nurse Practitioner | Outside In | 1132 Sw 13th Ave, Portland, OR 97205-1703 |
| Peter Vuky | Chiropractic | Outside In | 1132 Sw 13th Ave, Portland, OR 97205-1703 |
| Find all physicians in zip 97205 | |||
| City | PORTLAND |
| Zip Code | 97205 |
| Specialty | PSYCHIATRY |
| City + Specialty | PORTLAND + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.