Deshmukh, Vivek Raghvendra
Deshmukh, Vivek Raghvendra is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 440 , Portland OR 97225-6631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Deshmukh, Vivek Raghvendra can be contacted via phone (503) 935-8500.Contact Information
Primary practice address
9155 Sw Barnes Rd Ste 440
Portland OR 97225-6631
Phone: (503) 935-8500
Fax: (503) 935-8505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD152618 | Oregon |
Profile Details
| NPI number | 1710922026 |
|---|---|
| LBN Legal business name | Deshmukh, Vivek Raghvendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Nov 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710922026 | NPPES |
| Washington | MEDICAID | 1710922026 | |
| Washington | MEDICAID | 500628638 |
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