Individual
DR. REVATI KALLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 NE HOYT ST STE 540, PORTLAND, OR 97213-2985
(503) 215-6488
Mailing address
5050 NE HOYT ST STE 540, PORTLAND, OR 97213-2985
(503) 215-6488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG227016
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2023
Last updated
08/25/2025
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