Provider Demographics
NPI:1851984421
Name:SHIH, BETTY PEI-I (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:PEI-I
Last Name:SHIH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BETTY
Other - Middle Name:SHIH
Other - Last Name:INSCORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7107 SW 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-7420
Mailing Address - Country:US
Mailing Address - Phone:503-575-0664
Mailing Address - Fax:
Practice Address - Street 1:3033 SE MONROE ST
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-6636
Practice Address - Country:US
Practice Address - Phone:503-659-4988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD198158207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine