Individual
SPANDANA LAVANYA DARYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD225768
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
08/29/2025
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