Individual
DR. AVNISH TRIPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D., M.P.H.
Contact information
Practice address
24900 SE STARK ST STE 109, GRESHAM, OR 97030-3381
(503) 674-4100
Mailing address
24900 SE STARK ST STE 109, GRESHAM, OR 97030-3381
(503) 674-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD218304
OR
207RI0011X
Interventional Cardiology Physician
Primary
61496230
WA
207RI0011X
Interventional Cardiology Physician
E-15427
AR
Other
Enumeration date
06/29/2012
Last updated
06/09/2025
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