MEDICARE: MADHU M POTLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD23160	OR

General Provider Information

NPI Number	:	1457386583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHU M POTLA MD

Provider Business Mailing Address
First Line	:	PO BOX 13994
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-0994
Country	:	US
Telephone Number	:	503-215-6494
Fax Number	:	503-215-6644

Provider Business Practice Location Address
First Line	:	1321 NE 99TH AVE
Second Line	:	SUITE 100
City	:	PORTLAND
State	:	OR
Zip	:	97220-9436
Country	:	US
Telephone Number	:	503-215-4050
Fax Number	:	503-215-4055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	02/04/2022

Similar Medicare Providers

1346234606 — MARINA MEZEY MD
Practice Location Address:

1321 NE 99TH AVE , SUITE 200
PORTLAND, OR
97220-9436

Practice Phone: 503-215-4250
Practice Fax: 503-215-4255

1447212865 — DR. JIMMY MING-YUH LIAO MD
Practice Location Address:

1321 NE 99TH AVE , SUITE 100
PORTLAND, OR
97220-9436

Practice Phone: 503-215-9900
Practice Fax:

1639120314 — DR. RICHARD C MANTHEY MD
Practice Location Address:

1321 NE 99TH AVE , SUITE 100
PORTLAND, OR
97220-9436

Practice Phone: 503-215-9900
Practice Fax: 503-215-4025

1316993801 — RIMA CHAMIE MD
Practice Location Address:

1321 NE 99TH AVE , SUITE 200
PORTLAND, OR
97220-9436

Practice Phone: 503-215-4250
Practice Fax: 503-215-4255

1881641397 — MS. NORI ALEA TREVARTHEN FNP
Practice Location Address:

1321 NE 99TH AVE , STE 100
PORTLAND, OR
97220-9436

Practice Phone: 503-215-9900
Practice Fax:

1427092139 — DR. STEVEN J MANDELBLATT M.D.
Practice Location Address:

1321 NE 99TH AVE , SUITE 100
PORTLAND, OR
97220-9436

Practice Phone: 503-215-9900
Practice Fax: 503-215-4055

1437194891 — DR. KAY M GATES MD
Practice Location Address:

1321 NE 99TH AVE , SUITE 100
PORTLAND, OR
97220-9436

Practice Phone: 503-215-4050
Practice Fax: 503-215-4055

Directions to “ MADHU M POTLA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.