Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deepak Nallur

Individual provider Family Medicine Physician · NPI 1871175695

Deepak Nallur is a Family Practice in Beaverton, Oregon. Graduated from Rocky Vista University College of Osteopathic Med in 2021, 5 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
OR
In the registry since
2021
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Practice location Address checks out

4855 SW Western Ave
Beaverton, OR 97005-3499
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23520 Cactus Ave, Moreno Valley, CA 92553-8906 — (951) 867-3825

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO221487 (OR)

Record details

NPI number1871175695
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2021
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2099

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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