Devarajan, Sumathi

Devarajan, Sumathi is an individual health care provider with primary practice located at 3930 Se Division St , Portland OR 97202-1643. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Devarajan, Sumathi can be contacted via phone (503) 418-3900.

Contact Information

Primary practice address
3930 Se Division St Portland OR 97202-1643
Phone: (503) 418-3900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23066 Oregon
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD23066 Oregon

Profile Details

NPI number 1992874267
LBN Legal business name Devarajan, Sumathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 16th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992874267 NPPES
Oregon MEDICAID 181881

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