Individual
DR. OLABISI RUKAYAT SANUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239
(503) 494-4314
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4314
(503) 346-6810
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125.061597
IL
207T00000X
Neurological Surgery Physician
4301502291
MI
207T00000X
Neurological Surgery Physician
Primary
MD192360
OR
Other
Enumeration date
04/05/2012
Last updated
09/02/2021
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