IndividualActive
Prashanth Vallabhanath, MD
NPI 1386626372 · Ophthalmic Plastic and Reconstructive Surgery Physician · Portland, OR
Provider details
- NPI number
- 1386626372
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD22584 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1955 Nw Northrup St
Portland, OR 97209-1614
Phone: (503) 227-2020
Fax: (503) 222-0614
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 22009
Portland, OR 97269-2009
Registry dates
- Enumerated
- 2005-11-16
- Last updated
- 2021-02-20
- Certified
- 2021-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.