Individual
MR. SOURABH MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # OP31, PORTLAND, OR 97239-3011
(503) 418-9888
Mailing address
3181 SW SAM JACKSON PARK RD # OP31, PORTLAND, OR 97239-3011
(503) 418-9888
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
FE165114
OR
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
256630
MA
Other
Enumeration date
06/21/2013
Last updated
06/19/2014
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