Individual
DR. ANUR VENKATACHALAPATHI PRAVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. , M.P.H
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE CDRCP, PORTLAND, OR 97239-3011
(503) 494-8652
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE CDRCP, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301083575
MI
Other
Enumeration date
05/23/2007
Last updated
07/13/2007
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