MAYURA PHADTARE MADDEN

PORTLAND, OR
NPI1174842785
Former NameMAYURA SHASHIKANT PHADTARE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OR  MD175749)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: WA  MD60805215)
207P00000X Emergency Medicine
(Licence: MI  4301096327)
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: TX  P9691)
Enumeration Date2010-05-21
Last Update Date2025-06-06
Business Address
MAYURA PHADTARE MADDEN MD
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2031
Phone number: 800-813-2000
Mailing Address
MAYURA PHADTARE MADDEN MD
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2031
Phone number: 800-813-2000