Individual
DR. NEIL J DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7213 SW HAZEL FERN RD, TIGARD, OR 97224-7716
(503) 214-2064
Mailing address
7213 SW HAZEL FERN RD, TIGARD, OR 97224-7716
(503) 214-2064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45291
CO
208000000X
Pediatrics Physician
Primary
MD198578
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20542
KAISER COMMERCIAL NUMBER
CO
05
—
79177514
—
CO
Enumeration date
05/04/2007
Last updated
02/05/2026
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