Individual
RAMYA VENIGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7551
(503) 494-4997
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7551
(503) 494-4997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036149535
IL
207P00000X
Emergency Medicine Physician
5101022570
MI
207P00000X
Emergency Medicine Physician
Primary
DO211186
OR
390200000X
Student in an Organized Health Care Education/Training Program
5101022570
MI
Other
Enumeration date
06/06/2016
Last updated
07/18/2022
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