Individual
DR. SUBRAMANIAM SEETHARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3033 SE MONROE ST, MILWAUKIE, OR 97222-6636
(503) 659-4988
(503) 659-4730
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60048
OR
390200000X
Student in an Organized Health Care Education/Training Program
LL16688
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218515
—
OR
Enumeration date
11/12/2007
Last updated
06/01/2010
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