Individual
DR. DIVYA SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5501
(503) 494-1121
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5501
(503) 494-1121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.075411
IL
2086X0206X
Surgical Oncology Physician
Primary
MD211586
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2013
Last updated
08/05/2022
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