Mittra, Erik Supratik
Mittra, Erik Supratik is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Mittra, Erik Supratik can be contacted via phone (503) 418-0990.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 418-0990
Fax: (503) 494-4982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | A100162 | California |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | MD185627 | Oregon |
Profile Details
| NPI number | 1841472537 |
|---|---|
| LBN Legal business name | Mittra, Erik Supratik |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Jun 24th, 2020 - 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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