Individual
ADITI REDDY
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) 494-4373
(503) 418-4189
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45070
IA
207RG0100X
Gastroenterology Physician
Primary
218369
OR
208M00000X
Hospitalist Physician
MD-45070
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P99999
PENDING
MD
Enumeration date
07/20/2015
Last updated
07/02/2025
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