Individual
DR. ALFREDO JOSE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
182 SW ACADEMY ST, SUITE 30, DALLAS, OR 97338-1922
(503) 623-9289
(503) 831-1726
Mailing address
17695 OCEAN BLVD, ROCKAWAY BEACH, OR 97136-9689
(503) 548-7363
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301505995
MI
2084P0800X
Psychiatry Physician
MD21696
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD21696
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122564
—
OR
01
—
2019036194
STATE MEDICAL LICENSE
MO
01
—
MD21696
STATE MEDICAL LICENSE
OR
Enumeration date
08/29/2006
Last updated
03/07/2023
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