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Dr. Ilmar Soot, MD
Specialist in Portland, Oregon
NPI 1093737934

Ilmar Soot is a Specialist based in Portland, OR. Ilmar Soot practices in Portland, OR and has the professional credentials of MD. The NPI Number for Ilmar Soot is 1093737934 and holds a License No. 07178 (Oregon).

The current practice location address for Ilmar Soot is 11782 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-214-5200 and via fax at 503-906-6613.

Location: 11782 Sw Barnes Rd, Portland, OR, 97225-5914
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Provider Profile Details
NPI Number
1093737934
Provider Name
Ilmar Soot
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11782 Sw Barnes Rd, Portland, OR, 97225-5914
Phone Number
503-214-5200
Fax Number
503-906-6613
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
181263 05 OR
institution
Provider Business Practice Location Address Details
Address
11782 Sw Barnes Rd
City
State
Zip
97225-5914
Phone Number
503-214-5200
Fax Number
503-906-6613
person
Provider Business Mailing Address Details
Address
11782 Sw Barnes Rd
City
State
Zip
97225-5914
Phone Number
503-214-5200
Fax Number
503-906-6613
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
07178 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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