Individual
DIVYA THEKKETHALA WINOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
2121 SE BELMONT ST APT 122, PORTLAND, OR 97214-3394
(774) 266-0878
Mailing address
2121 SE BELMONT ST APT 122, PORTLAND, OR 97214-3394
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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