Individual
SMITHA R CHADAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-8407
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036111472
IL
207R00000X
Internal Medicine Physician
Primary
161147
OR
208M00000X
Hospitalist Physician
41626
CO
Other
Enumeration date
03/28/2006
Last updated
10/10/2014
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