Search › Oregon › 363A00000X
Ian Shupe, MSPAS, PA-C, RT(R)
NPI 1528632825 · on the registry since 2021
Practice
- Address
- 842 E Main St
Medford, OR 97504 - Phone
- (541) 618-5800
- Fax
- (541) 779-3027
- Organisation at this address
- Comprehensive Pain Care, Llc
Medford Radiological Group, Pc
Radia Oregon Radiology Medical Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 1910 E Barnett Rd Ste 104, Medford, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon