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Individual

DR. HRISHIKESH S IYENGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
610 HAWTHORNE AVE SE STE 110, SALEM, OR 97301
(503) 814-4440
(503) 814-4444
Mailing address
PO BOX 886, SALEM, OR 97308-0886
(503) 814-4440
(503) 814-4444

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD153101
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500631254
OR
01
R157563
MEDICARE
OR
Enumeration date
06/06/2007
Last updated
07/11/2018
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