Provider Demographics
NPI:1982670782
Name:BUDDEN, SAROJINI S (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJINI
Middle Name:S
Last Name:BUDDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2801 N GANTENBEIN AVE
Mailing Address - Street 2:SUITE 2225
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1623
Mailing Address - Country:US
Mailing Address - Phone:503-413-4505
Mailing Address - Fax:503-413-4719
Practice Address - Street 1:2801 N GANTENBEIN AVE
Practice Address - Street 2:SUITE 2225
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1623
Practice Address - Country:US
Practice Address - Phone:503-413-4505
Practice Address - Fax:503-413-4719
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR105502080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR268730Medicaid
OR113843Medicare ID - Type Unspecified
OR268730Medicaid