Individual
SUSMITA CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MULLINS DR STE 2, LEBANON, OR 97355-3985
(541) 451-7915
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD221377
OR
207Q00000X
Family Medicine Physician
T-4333
MS
Other
Enumeration date
05/11/2021
Last updated
09/18/2024
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