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Individual

DR. VIVEK RAGHVENDRA DESHMUKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9155 SW BARNES RD STE 440, PORTLAND, OR 97225-6631
(503) 935-8500
(503) 935-8505
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD152618
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710922026
WA
05
500628638
OR
Enumeration date
06/19/2006
Last updated
11/22/2023
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