Individual
DR. SRINI VASAN MUKUNDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7400
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD171360
OR
207RC0000X
Cardiovascular Disease Physician
MD171360
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD171360
OR
Other
Enumeration date
04/19/2012
Last updated
08/18/2020
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