Individual
MAYURA PHADTARE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301096327
MI
207P00000X
Emergency Medicine Physician
Primary
MD175749
OR
207P00000X
Emergency Medicine Physician
MD60805215
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
P9691
TX
Other
Enumeration date
05/21/2010
Last updated
06/06/2025
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