person
Dr. Proleta Datta, MDPHD
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1326393695

Proleta Datta is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Proleta Datta practices in Portland, OR and has the professional credentials of MDPHD. The NPI Number for Proleta Datta is 1326393695 and holds a License No. 30734 (Oregon).

The current practice location address for Proleta Datta is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-7772 and via fax at 503-494-7242.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1326393695
Provider Name
Proleta Datta
Credential
MDPHD
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-7772
Fax Number
503-494-7242
Provider Enumeration Date
07/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7772
Fax Number
503-494-7242
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7772
Fax Number
503-494-7242
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
MD203710 (Oregon)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
30734 (Nebraska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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