NPI 1841472537

Erik Supratik Mittra, MDPHD

Practitioner Nuclear Medicine Physician Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 418-0990
Fax: (503) 494-4982

Registered specialties (2)

Nuclear Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence MD185627 (OR)

Other Nuclear Medicine providers in Oregon →

Nuclear Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence A100162 (CA)

Registry record

NPI: 1841472537
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2007
Record last updated: 24 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.