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Individual

DR. SAJAL C DUTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 N GRAHAM ST STE 420, PORTLAND, OR 97227-2006
(503) 288-7303
(503) 288-3806
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD23632
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2147140
WA
05
286467
OR
05
8383143
WA
Enumeration date
10/04/2005
Last updated
02/17/2026
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