Individual
ANUSHA VALLURUPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5058
(503) 494-5065
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5058
(503) 494-5065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN14922
FL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
96046
GA
207RH0000X
Hematology (Internal Medicine) Physician
MD200224
OR
390200000X
Student in an Organized Health Care Education/Training Program
MD.206180
LA
Other
Enumeration date
06/14/2010
Last updated
08/17/2023
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