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1215624085
REVATI KALLURI
PORTLAND, OR
NPI
1215624085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-20
Last Update Date
2024-06-23
Business Address
Dr. REVATI KALLURI MD
5050 NE HOYT ST STE 540
PORTLAND, OR 97213-2985
Phone number: 503-215-6488
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Mailing Address
Dr. REVATI KALLURI MD
5050 NE HOYT ST STE 540
PORTLAND, OR 97213-2985
Phone number: 503-215-6488
Copy
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