Misra, Sounak N

Misra, Sounak N is an sole proprietor health care provider with primary practice located at 700 N Hayden Island Dr Ste 100 , Portland OR 97217-8130. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Misra, Sounak N can be contacted via phone (971) 533-5840.

Contact Information

Primary practice address
700 N Hayden Island Dr Ste 100 Portland OR 97217-8130
Phone: (971) 533-5840
Fax: (971) 270-2806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26161 Oregon
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD26161 Oregon
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD26161 Oregon

Profile Details

NPI number 1831144872
LBN Legal business name Misra, Sounak N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jan 7th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831144872 NPPES
Oregon MEDICAID 271033
Oregon Other P00294103

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