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Namrita Boparai

Internal Medicine in Portland, OR. Individual provider (NPI-1).

NPI number1629489554
StatusActive
Last updated in NPPESMar 17, 2020

Details

NPI
1629489554
Entity type
Individual (NPI-1)
Name
Namrita Boparai
Sex
Female
Sole proprietor
Yes
Enumeration date
May 14, 2014
Certification date
Mar 17, 2020
Last updated
Mar 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD188243ORYes
207R00000X Internal MedicineA148581CA

Practice location

3181 Sw Sam Jackson Park Rd # Bte119
Portland, OR 97239-3011

Phone 503-494-6101 · Fax 503-494-1159

Mailing address

4418 Cambria St
Fremont, CA 94538-1279

Phone 510-290-9706

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