Individual
DEEPAK NALLUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3499
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO221487
OR
Other
Enumeration date
04/21/2021
Last updated
10/08/2025
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