Individual
DR. SIDHARTHA TAVRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD FL 2, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-4258
Mailing address
3181 SW SAM JACKSON PARK RD FL 2, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-4258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.126824
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD206332
OR
Other
Enumeration date
04/25/2008
Last updated
09/07/2021
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