Individual
DR. NILANA SOWBAGYA GUNASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1043
(503) 285-9321
Mailing address
3403 NE 23RD AVENUE, PORTLAND, OR 97212
(503) 493-7310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25170
OR
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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