Datta, Proleta

Datta, Proleta is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Datta, Proleta can be contacted via phone (503) 494-7772.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-7772
Fax: (503) 494-7242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30734 Nebraska
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD203710 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A142041 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10043519 Texas

Profile Details

NPI number 1326393695
LBN Legal business name Datta, Proleta
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Jun 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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