Individual
ARUNDHATI UNDURTI HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-1678
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-1678
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD217334
OR
2084P0800X
Psychiatry Physician
MD60488964
WA
Other
Enumeration date
03/28/2012
Last updated
10/10/2023
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