Individual
MYTHILI RAGHAVAN RANSDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 HICKORY ST NW STE 300, ALBANY, OR 97321-1700
(541) 812-5700
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15848
NH
207R00000X
Internal Medicine Physician
Primary
MD176005
OR
208000000X
Pediatrics Physician
15848
NH
Other
Enumeration date
06/12/2008
Last updated
03/15/2021
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