Individual
SRUTHI CHUNDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.CH.B
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD175378
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2012
Last updated
07/19/2016
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