Individual
RAVNEET KAUR DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD200823
OR
207Q00000X
Family Medicine Physician
MD60869846
WA
207Q00000X
Family Medicine Physician
ML60661870
WA
207R00000X
Internal Medicine Physician
MD200823
OR
208M00000X
Hospitalist Physician
Primary
MD200823
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841647443
—
WA
05
—
2059440
—
WA
Enumeration date
05/24/2016
Last updated
02/04/2025
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