Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD150875 | OR |
Y | 111NI0900X | Internist | MD150875 | OR |
N | 207R00000X | Internist | MEDT4882 | AK |
N | 111NI0900X | Internist | MEDT4882 | AK |
NPI | 1003071846 |
---|---|
Provider Name | Richa Uppal |
First Address | Portland, OR 97205-1902 |
Second Address | Portland, OR 97205-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2008 |
Last Update Date | 25/11/2020 |