Individual
DR. SRIDHAR VIJAYASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3640 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3738
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD159037
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648303
—
OR
Enumeration date
05/30/2006
Last updated
03/23/2022
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