Individual
ADITI MADABHUSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3615 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3771
(541) 768-5930
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.096280
OH
2086S0129X
Vascular Surgery Physician
35.096280
OH
2086S0129X
Vascular Surgery Physician
Primary
MD187061
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500743677
—
OR
Enumeration date
06/26/2008
Last updated
12/20/2021
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