Erik Supratik Mittra, M.D., PH.D. Valid NPI
Individual provider · Nuclear Medicine Physician · Portland, OR
- NPI
- 1841472537
- Type
- Individual (Type 1)
- Primary specialty
- Nuclear Medicine Physician (Nuclear Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207U00000X
- License number
- MD185627 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-12-04
- Last updated
- 2020-06-24
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
(503) 418-0990