Individual
NUPUR SANGHAVI MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
207R00000X
Internal Medicine Physician
125.072451
IL
207R00000X
Internal Medicine Physician
MD219832
OR
207RN0300X
Nephrology Physician
036.156978
IL
207RN0300X
Nephrology Physician
Primary
MD219832
OR
Other
Enumeration date
06/13/2018
Last updated
09/18/2024
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