IndividualActive
Ajay Wanchu, MD
NPI 1528295557 · Rheumatology Physician · Portland, OR
Provider details
- NPI number
- 1528295557
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD160711 (OR)
Practice location
10101 Se Main St Ste 2011
Portland, OR 97216-2457
Phone: (503) 261-6912
Fax: (503) 251-6357
Mailing address
10101 Se Main St Ste 2011
Portland, OR 97216-2457
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.