Individual
ANUJA MITTAL-HENKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2875 NW STUCKI AVE, KAISER WESTSIDE MEDICAL CENTER, HILLSBORO, OR 97124-5806
(503) 571-4866
Mailing address
2875 NW STUCKI AVE, KAISER WESTSIDE MEDICAL CENTER, HILLSBORO, OR 97124-5806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25972
OR
207RN0300X
Nephrology Physician
MD25972
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270023
—
OR
Enumeration date
07/31/2006
Last updated
02/20/2014
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