Individual provider · Type 1 NPI

Proleta Datta, MD PHD

Neurology Physician · Portland, OR

NPI number 1326393695 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-7772 Map

Fax (503) 494-7242

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X30734 (NE)
Neurology Physician 2084N0400XMD203710 (OR)
Neurology Physician 2084N0400XA142041 (CA)
Student in an Organized Health Care Education/Training Program 390200000XBP10043519 (TX)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1326393695

Proleta Datta, MD PHD's National Provider Identifier is 1326393695, issued on Jul 23, 2012. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Portland, OR. The record was last updated on Jun 3, 2021.