Individual
RAVALI SANTOSHI AMBATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 111, BEAVERTON, OR 97006-7357
(503) 531-3434
Mailing address
200 SW MARKET ST STE 1650, PORTLAND, OR 97201-5739
(503) 466-1668
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD226161
OR
Other
Enumeration date
03/30/2022
Last updated
09/15/2025
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