Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khalil I. Shasha, MD

Individual provider Internal Medicine Physician · NPI 1942233564

Khalil I. Shasha, MD is an Internal Medicine in Tualatin, Oregon. Qualified in 1992, 34 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
34
Licensed in
OR, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 413-8407
Fax: (503) 413-6951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 S 43rd St, Renton, WA 98055-5714 — (425) 251-5110

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD173729 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD00041482 (WA)
Hospitalist Physician Taxonomy 208M00000X · Licence MD00041482 (WA)

Record details

NPI number1942233564
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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