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Individual

PASALA SANKARAN RAVICHANDRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 226-6321
(503) 227-3422
Mailing address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 226-6321
(503) 227-3422

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD24595
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0277792
DEPT OF LABOR & INDUSTRIES
WA
05
133969
OR
05
1487669990
WA
Enumeration date
07/31/2006
Last updated
09/10/2015
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