Individual
DR. SONAL B. DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1955 N.W. NORTHRUP, PORTLAND, OR 97209-1614
(503) 227-2020
(503) 222-0614
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
6565407
UT
207W00000X
Ophthalmology Physician
Primary
MD28150
OR
207W00000X
Ophthalmology Physician
TRN 8032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279153
—
OR
Enumeration date
02/20/2007
Last updated
02/20/2021
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