Individual
SHAKUNTALA KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1745
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 681-1745
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD10821
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278754
—
OR
Enumeration date
06/24/2006
Last updated
11/16/2007
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