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STUTI V DESAI MD

Individual Provider (NPI-1) Active

Otolaryngology

Provider Information

NPI Number
1265964662
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
17704 JEAN WAY STE 101, LAKE OSWEGO, OR, 970355584
Phone
(503) 699-0370
Fax
(971) 236-9099

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program
Otolaryngology Primary License: OR #MD209635

All Addresses

MAILING

5323 HARRY HINES BLVD

DALLAS, TX, 753907201

LOCATION

17704 JEAN WAY STE 101

LAKE OSWEGO, OR, 970355584

(503) 699-0370