Individual
SUDHIR ISHARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 SW BOND AVE STE 10, PORTLAND, OR 97239-4501
(503) 346-1500
(503) 494-8671
Mailing address
3303 SW BOND AVE STE 10, PORTLAND, OR 97239-4501
(503) 346-1500
(503) 494-8671
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
127889
OH
208800000X
Urology Physician
187292
OR
208800000X
Urology Physician
6194
NE
208800000X
Urology Physician
Primary
MD187292
OR
Other
Enumeration date
07/06/2010
Last updated
07/11/2019
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