Individual
DR. PRASANNA RAMA CHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006
(503) 646-0161
(503) 643-7459
Mailing address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006
(503) 646-0161
(503) 643-7459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26884
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240412
—
OR
Enumeration date
11/22/2006
Last updated
09/03/2020
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