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1144781162
SUPREETHA GUBBALA
SCAPPOOSE, OR
NPI
1144781162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD212377)
Enumeration Date
2019-03-31
Last Update Date
2022-11-08
Business Address
SUPREETHA GUBBALA MD
51377 SW OLD PORTLAND RD
SCAPPOOSE, OR 97056-4023
Phone number: 503-418-4222
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Mailing Address
SUPREETHA GUBBALA MD
335 SE 8TH AVE
HILLSBORO, OR 97123-4246
Phone number: 503-681-1050
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