Individual
ABHUSHAN POUDYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036148460
IL
207R00000X
Internal Medicine Physician
MD214819
OR
207RC0000X
Cardiovascular Disease Physician
4301506197
MI
207RC0000X
Cardiovascular Disease Physician
Primary
MD214819
OR
207RI0011X
Interventional Cardiology Physician
MD214819
OR
Other
Enumeration date
07/06/2016
Last updated
08/30/2023
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