Individual
DR. RAMAN KANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
01300 SW MAUS ST, PORTLAND, OR 97219-7891
(952) 595-1100
(612) 294-4903
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6132
(503) 261-6786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00043603
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD25686
OR
2085R0204X
Vascular & Interventional Radiology Physician
MD25686
OR
Other
Enumeration date
03/22/2006
Last updated
11/10/2015
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