Individual
DR. HEMALATHA SUBBARATNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3311 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-5144
(541) 338-1070
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
MD00045796
WA
2084N0400X
Neurology Physician
10111
ND
2084N0400X
Neurology Physician
5640
NV
2084N0400X
Neurology Physician
C51553
CA
2084N0400X
Neurology Physician
MD00045796
WA
2084N0400X
Neurology Physician
Primary
MD189409
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C515530
—
CA
Enumeration date
12/01/2006
Last updated
08/23/2018
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