Dr. PROLETA DATTA MD PhD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1326393695- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD PhD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-7772
- Fax
- (503) 494-7242
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
Primary License: NE #30734
Psychiatry & Neurology, Neurology
License: OR #MD203710
Psychiatry & Neurology, Neurology
License: CA #A142041
Student in an Organized Health Care Education/Training Program
License: TX #BP10043519