SUMEETH MANGALORE BHAT MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1720235500- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1960 NW 167TH PL STE 100, BEAVERTON, OR, 970064805
- Phone
- (503) 672-6000
- Fax
- (503) 672-6001
Specialties & Taxonomies
Family Medicine
License: OR #LL18104
Family Medicine
Primary License: OR #MD125764