IndividualActive
Shinpei Shibata, M.D.
NPI 1609179639 · Pediatric Critical Care Medicine Physician · Portland, OR
Provider details
- NPI number
- 1609179639
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 21500017 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
707 Sw Gaines St
Mail Code: Cdrcp
Portland, OR 97239-2901
Phone: (503) 494-1544
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Nw Marshall St
Portland, OR 97209-3165
Registry dates
- Enumerated
- 2010-12-14
- Last updated
- 2011-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.