Individual
RAJ PENUMETSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-8000
Mailing address
2750 PICKLE RD APT 11, OREGON, OH 43616-3935
(567) 277-0342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD220293
OR
207Q00000X
Family Medicine Physician
U9769
TX
208M00000X
Hospitalist Physician
35.126661
OH
Other
Enumeration date
04/03/2012
Last updated
12/03/2025
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