Individual
ANUP MAMMEN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
9300 SE 91ST AVE STE 400, HAPPY VALLEY, OR 97086-3762
(503) 775-6500
Mailing address
4267 NW DIAMONDBACK DR, BEAVERTON, OR 97006-7421
(503) 329-1568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10009021
OR
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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