IndividualActive
Gurusidda Manu, MBBS
NPI 1083058374 · Medical Oncology Physician · Portland, OR
Provider details
- NPI number
- 1083058374
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- License
- MD208535 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-6594
Fax: (503) 494-4285
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.