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1578762035
PRASANNA VENKATESH KRISHNASAMY
PORTLAND, OR
NPI
1578762035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD125896)
Enumeration Date
2007-07-15
Last Update Date
2011-10-31
Business Address
-- PRASANNA VENKATESH KRISHNASAMY M.D., MPH
2800 N VANCOUVER AVE SUITE 230 (LEGACY MEDICAL GROUP - EMANUEL)
PORTLAND, OR 97227-1630
Phone number: 503-413-4340
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Mailing Address
-- PRASANNA VENKATESH KRISHNASAMY M.D., MPH
2800 N VANCOUVER AVE SUITE 230 (LEGACY MEDICAL GROUP - EMANUEL)
PORTLAND, OR 97227-1630
Phone number: 503-413-4340
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