Individual
SUVARNA REDDY PALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6640 SW REDWOOD LN, PORTLAND, OR 97224-7187
(503) 620-7358
(503) 924-2260
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD21274
OR
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
MD21274
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136352
—
OR
Enumeration date
05/11/2006
Last updated
03/01/2021
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