Individual
DR. ARCHIT CHANDRAVADAN BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,, M.P.H
Contact information
Practice address
5050 NE HOYT ST STE 315, PORTLAND, OR 97213-2982
(503) 215-8580
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
105878
AK
2084N0400X
Neurology Physician
34909
MT
2084N0400X
Neurology Physician
A119321
CA
2084N0400X
Neurology Physician
MD155119
OR
2084N0400X
Neurology Physician
MD60286035
WA
2084V0102X
Vascular Neurology Physician
Primary
MD155119
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648777
—
OR
01
—
P01189824
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
08/24/2007
Last updated
11/25/2022
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