Individual
DR. RUPALI SURENDRA AVASARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, SJH6, PORTLAND, OR 97239-3011
(503) 494-3442
Mailing address
3181 SW SAM JACKSON PARK RD, SJH6, PORTLAND, OR 97239-3011
(503) 494-3442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
262480
NY
207RN0300X
Nephrology Physician
Primary
177687
OR
Other
Enumeration date
04/20/2009
Last updated
08/23/2016
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