Individual
DR. ERIK SUPRATIK MITTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
A100162
CA
207U00000X
Nuclear Medicine Physician
Primary
MD185627
OR
Other
Enumeration date
12/04/2007
Last updated
06/24/2020
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