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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386206332

Subeena Pritam Phull, MD is an Internal Medicine in Lebanon, Oregon. Qualified in 2019, 7 years ago. Practices with Mid-Valley Healthcare Inc, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 N Santiam Hwy
Lebanon, OR 97355
Phone: (541) 451-6413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 E University Pkwy Dept Of, Baltimore, MD 21218-2829 — (410) 554-2782

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD218933 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386206332
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 30, 2019
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mid-Valley Healthcare Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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