Individual
SUMEETH MANGALORE BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1960 NW 167TH PL STE 100, BEAVERTON, OR 97006-4805
(503) 672-6000
(503) 672-6001
Mailing address
1960 NW 167TH PL STE 100, BEAVERTON, OR 97006-4805
(503) 672-6000
(503) 672-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL18104
OR
207Q00000X
Family Medicine Physician
Primary
MD125764
OR
Other
Enumeration date
08/22/2008
Last updated
07/10/2025
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