Individual
KAVYA TIMMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD222946
OR
207Q00000X
Family Medicine Physician
Primary
MD61576903
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2019
Last updated
09/08/2025
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