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1871175695
DEEPAK NALLUR
BEAVERTON, OR
NPI
1871175695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO221487)
Enumeration Date
2021-04-21
Last Update Date
2025-10-08
Business Address
DEEPAK NALLUR
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3499
Phone number: 800-813-2000
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Mailing Address
DEEPAK NALLUR
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2099
Phone number: 800-813-2000
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