Individual
REENA NANDIHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5200 S MACADAM AVE STE 460, PORTLAND, OR 97239-3836
(503) 272-1207
Mailing address
3729 SE YAMHILL ST, PORTLAND, OR 97214-4352
(734) 358-3492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101015671
MI
2084P0800X
Psychiatry Physician
Primary
DO150142
OR
Other
Enumeration date
02/21/2007
Last updated
03/28/2022
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