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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PROLETA DATTA, MD PHD

Active

DR. PROLETA DATTA, MD PHD is a Neurology healthcare provider located in PORTLAND, Oregon. NPI 1326393695 is currently active in the NPPES registry. Verify at CMS.

Neurology · PORTLAND, OR

Registration Details

NPI Number
1326393695
Provider Type
Individual
Gender
Female
NPI Issued
Jul 23, 2012 (14.034140039359 yrs)
Last Updated
Jun 3, 2021
Licenses
30734 (NE)
MD203710 (OR)
A142041 (CA)
BP10043519 (TX)

Practice Information

Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR, 972393011
Browse OR providers · Browse ZIP 97239
Phone
5034947772
Fax
5034947242
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Neurology
Additional Specialty
Neurology

Other Neurology Providers in PORTLAND, OR

Name Credential NPI
EVELYN A. P. CURIOSO 1699777482
CATHERINE MARIE ELLISON MD 1831191535
DANIEL M GIBBS MD, PHD 1720080427
KIMBERLY LOUISE GOSLIN MD 1245222371
HUBERT A LEONARD MD 1386636769
LESLIE DAVIS MCALLISTER MD 1407848831
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.