Individual
SEEMA R GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7672
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A84166
CA
207R00000X
Internal Medicine Physician
MD25666
OR
207W00000X
Ophthalmology Physician
Primary
MD25666
OR
Other
Enumeration date
07/08/2006
Last updated
07/30/2014
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