Individual
DR. MAYANK AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 NE 139TH ST STE 360, VANCOUVER, WA 98686-2301
(503) 413-7162
(360) 487-1975
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E6478
AR
207RC0000X
Cardiovascular Disease Physician
MD202527
OR
207RC0000X
Cardiovascular Disease Physician
MD60556414
WA
207RI0011X
Interventional Cardiology Physician
Primary
50156
MT
Other
Enumeration date
05/22/2007
Last updated
03/24/2021
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