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Individual

DR. RAMNISH JAGDISH MANDRELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS, MD

Contact information

Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3198
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0067392
CO
207Q00000X
Family Medicine Physician
MD179005
OR
207Q00000X
Family Medicine Physician
Primary
MD60063868
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0252141
STATE L&I
WA
Enumeration date
06/24/2008
Last updated
05/11/2026
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