Individual
JOAO PROLA NETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4830
(503) 292-0346
Mailing address
PO BOX 25180, PORTLAND, OR 97298-0180
(503) 797-6356
(503) 292-0346
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
MD176837
OR
2085N0700X
Neuroradiology Physician
MD176837
OR
2085R0202X
Diagnostic Radiology Physician
Primary
176837
OR
2085R0202X
Diagnostic Radiology Physician
MD176837
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655260
—
OR
Enumeration date
02/24/2012
Last updated
01/12/2018
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