Bogavelli, Vijayalaxmi
Bogavelli, Vijayalaxmi is an sole proprietor health care provider with primary practice located at 9155 Sw Barnes Rd Ste 333, Portland OR 97225-6625. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bogavelli, Vijayalaxmi can be contacted via phone (503) 216-5102.Contact Information
Primary practice address
9155 Sw Barnes Rd Ste 333
Portland OR 97225-6625
Phone: (503) 216-5102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD166266 | Oregon |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 95-01178 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD166266 | Oregon |
Profile Details
| NPI number | 1568522233 |
|---|---|
| LBN Legal business name | Bogavelli, Vijayalaxmi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Feb 15th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568522233 | NPPES |
| Oregon | MEDICAID | 500686948 | |
| Oregon | MEDICAID | 5901479 |
Popular Providers
-
Fairley, Nora Lou
10373 Ne Hancock St Suite 115, Portland OR 97220-3873 -
Ragade, Jagdish R
9205 Sw Barnes Rd , Portland OR 97225-6603 -
Gold, Robert
5050 Ne Hoyt St Ste 522, Portland OR 97213-2991 -
Birecree, Elizabeth
1020 Sw Taylor St Ste 750, Portland OR 97205-2505 -
Conti, Paul M
9155 Sw Barnes Rd. Ste 333, Portland OR 97225-6630 -
Beahrs, John Oakley
3006 Ne Bryce St , Portland OR 97212-1718 -
Heh, Chen-Wen Chris
1015 Nw 22Nd Ave , Portland OR 97210-3025 -
Green, Edward F
4037 Ne Tillamook St , Portland OR 97212-5341