Dutta, Sajal C

Dutta, Sajal C is an individual health care provider with primary practice located at 501 N Graham St Ste 420, Portland OR 97227-2006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dutta, Sajal C can be contacted via phone (503) 288-7303.

Contact Information

Primary practice address
501 N Graham St Ste 420 Portland OR 97227-2006
Phone: (503) 288-7303
Fax: (503) 288-3806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD23632 Oregon

Profile Details

NPI number 1528055548
LBN Legal business name Dutta, Sajal C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 5th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1528055548 NPPES
Oregon MEDICAID 286467
Oregon MEDICAID 8383143
Oregon MEDICAID 2147140

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