Reddy, Swapna Bokka

Reddy, Swapna Bokka is an individual health care provider with primary practice located at 19250 Sw 90Th Ave , Tualatin OR 97062-7585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Reddy, Swapna Bokka can be contacted via phone (503) 692-3750.

Contact Information

Primary practice address
19250 Sw 90Th Ave Tualatin OR 97062-7585
Fax: (503) 691-2324
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD162099 Oregon

Profile Details

NPI number 1114106507
LBN Legal business name Reddy, Swapna Bokka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Dec 1st, 2021 - about 4 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 1114106507 NPPES
Washington MEDICAID 1114106507
Washington MEDICAID 500657127

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