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Individual

ASHUTOSH KUMAR LODHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
1003 PROVIDENCE DR, NEWBERG, OR 97132-7521
(503) 537-5900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD180143
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500719618
OR
Enumeration date
05/08/2012
Last updated
03/19/2021
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