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Individual

SARITHA SERU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 981-0423
Mailing address
2050 PROGRESS WAY, WOODBURN, OR 97071-9764
(503) 981-5348
(503) 981-0423

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD151145
OR
208000000X
Pediatrics Physician
MT-190062
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500623773
OR
Enumeration date
01/29/2009
Last updated
09/17/2015
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