Shreya Andhole
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR
NPI 1407720352 · NPPES record last updated Oct 3, 2025
Key facts
- NPI
- 1407720352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 25639989 (OR)
- Practice address
- 3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076 - Phone
- (503) 494-7725
- NPI assigned
- Oct 2, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25639989 | OR | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 25639989 | OR | Yes |
Addresses
Primary practice location
3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Mailing address
3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Other providers in Portland, OR
- Zachary N Anderson
- Josephine Patricia Andert
- Kenneth L Andert
- Amy Catherine Anderton
- Lawrence Andes
- Anastasia Andoniadis
- Henre James Andosca
- Edgar Andrada
- George Andrada
- Lisa Ann Andrade-Bahre
All providers in Portland, OR · Student in an Organized Health Care Education/Training Program in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.