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Individual

DR. SHIVAANI KUMMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 314-7168
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 314-7168

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
D0051239
MD
207RX0202X
Medical Oncology Physician
133954
CA
207RX0202X
Medical Oncology Physician
Primary
MD197646
OR

Other

Enumeration date
11/03/2010
Last updated
07/20/2020
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