Divya Pramod Nimmatoori, MD - Portland, OR

Divya Pramod Nimmatoori, MD

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1235727215

Divya Pramod Nimmatoori is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Divya Pramod Nimmatoori practices in Portland, OR and has the professional credentials of MD. The NPI Number for Divya Pramod Nimmatoori is 1235727215 and holds a License No. PG203236 (Oregon).

The current practice location address for Divya Pramod Nimmatoori is 9205 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-216-2621.

Location: 9205 Sw Barnes Rd, Portland, OR, 97208-3158

NPI Number

1235727215

Provider Name

Divya Pramod Nimmatoori

Credential

Provider Entity Type

Individual

Gender

Female

Address

9205 Sw Barnes Rd, Portland, OR, 97208-3158

Phone Number

503-216-2621

Fax Number

Provider Enumeration Date

01/06/2021

Last Update Date

03/10/2024

Address

9205 Sw Barnes Rd

City

Portland

State

Oregon

Zip

97225-6603

Phone Number

503-216-2621

Fax Number

Address

9205 Sw Barnes Rd

City

Portland

State

Oregon

Zip

97225-6603

Phone Number

503-216-2621

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

PG203236 (Oregon)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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