Healthcare Provider Details

I. General information

NPI: 1619619301
Provider Name (Legal Business Name): YUTIKA ANAND DONGRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 08/13/2025
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 SW SAM JACKSON PARK ROAD MAIL CODE UHN67 DIVISION OF PULMONARY AND CRITICAL CARE
PORTLAND OR
97239
US

IV. Provider business mailing address

3181 SW SAM JACKSON PARK ROAD MAIL CODE UHN67 DIVISION OF PULMONARY AND CRITICAL CARE
PORTLAND OR
97239
US

V. Phone/Fax

Practice location:
  • Phone: 503-494-7680
  • Fax:
Mailing address:
  • Phone: 503-494-7680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberPG224102
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberPG224102
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberPG224102
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: