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Dr. VIJAYALAXMI BOGAVELLI M.D.

Individual Provider (NPI-1) Active

Psychiatry & Neurology, Psychiatry

Provider Information

NPI Number
1568522233
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
9155 SW BARNES RD STE 333, PORTLAND, OR, 972256625
Phone
(503) 216-5102

Specialties & Taxonomies

Psychiatry & Neurology, Child & Adolescent Psychiatry License: OR #MD166266
Psychiatry & Neurology, Child & Adolescent Psychiatry License: NC #95-01178
Psychiatry & Neurology, Psychiatry Primary License: OR #MD166266

All Addresses

LOCATION

9155 SW BARNES RD STE 333

PORTLAND, OR, 972256625

(503) 216-5102

MAILING

PO BOX 3158

PORTLAND, OR, 972083158