Individual
KAMALJIT K ATWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10201 SE MAIN ST STE 11, PORTLAND, OR 97216-2937
(503) 253-2248
(503) 252-5166
Mailing address
10201 SE MAIN ST STE 11, PORTLAND, OR 97216-2937
(503) 253-2248
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
DO19518
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287497
—
OR
Enumeration date
04/18/2006
Last updated
02/12/2025
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