Individual
ANJALI S. CHENNUPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-2630
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-2630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
01/10/2022
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