Individual
KUSHMA S GOVINDAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 452-3563
(503) 494-4447
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 452-3563
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A 112481
CA
208000000X
Pediatrics Physician
MD187847
OR
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD187847
OR
Other
Enumeration date
12/20/2010
Last updated
12/06/2022
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