Individual
MS. KAMINI KUCHINAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8637
(503) 494-1022
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8637
(503) 494-1022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD220288
OR
207RR0500X
Rheumatology Physician
Primary
MD220288
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2015
Last updated
11/25/2024
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