Individual
DR. PRASANTH M PRASANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1100
(503) 681-1835
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(503) 494-8417
(503) 494-4455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD156365
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500641671
—
OR
Enumeration date
11/23/2006
Last updated
12/20/2023
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