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Dr. ERIK SUPRATIK MITTRA M.D., Ph.D.

Individual Provider (NPI-1) Active

Nuclear Medicine

Provider Information

NPI Number
1841472537
Provider Type
Individual Provider (NPI-1)
Credentials
M.D., Ph.D.
Status
Active

Contact & Location

Address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
Phone
(503) 418-0990
Fax
(503) 494-4982

Specialties & Taxonomies

Nuclear Medicine License: CA #A100162
Nuclear Medicine Primary License: OR #MD185627

All Addresses

LOCATION

3181 SW SAM JACKSON PARK RD

PORTLAND, OR, 972393011

(503) 418-0990

MAILING

3181 SW SAM JACKSON PARK RD

PORTLAND, OR, 972393011

(503) 418-0990