Individual
DR. HETAL KUMUDCHANDRA FICHADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9155 SW BARNES RD STE 532, PORTLAND, OR 97225-6632
(503) 488-2344
(503) 488-2360
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD170906
OR
2086S0122X
Plastic and Reconstructive Surgery Physician
MD170906
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026298
—
WA
05
—
500654757
—
OR
Enumeration date
05/05/2008
Last updated
11/22/2023
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