Individual
DR. SUSHANT PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 497-4431
(503) 346-6810
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD218283
OR
2084N0400X
Neurology Physician
Primary
MD218283
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2017
Last updated
09/12/2024
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