IndividualActive
Antony Poothullil, MD
NPI 1053418228 · Ophthalmology Physician · Portland, OR
Provider details
- NPI number
- 1053418228
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00045365 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3600 N Interstate Ave
Portland, OR 97227-1106
Phone: (503) 331-6330
Approximate (ZIP-level) locationGet directions
Mailing address
3600 N Interstate Ave
Portland, OR 97227-1106
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.