Individual
MRS. AVANTIKA SALEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3442
(503) 494-5330
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3442
(503) 494-5330
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
PA13399
TX
363AM0700X
Medical Physician Assistant
Primary
PA210565
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2019
Last updated
07/19/2022
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