SOUNAK N MISRA


Address: 700 N Hayden Island Dr Ste 100, Portland, OR 97217-8130
Phone: 9715335840

SOUNAK N MISRA (NPI# 1831144872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831144872
Entity Type Individual
Full Name SOUNAK N MISRA
Credential MD
Practice Address 700 N Hayden Island Dr Ste 100
Portland
OR 97217-8130
Mailing Address 2530 Se 26th Ave Apt 407
Portland
OR 97202-1484
Practice Telephone 9715335840
Practice Fax Number 9712702806
Mailing Telephone 9136369616
Mailing Fax Number 9712702806
Enumeration Date 2006-05-24
Last Update Date 2019-01-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MD26161 OR Allopathic & Osteopathic Physicians
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
MD26161 OR Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
MD26161 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 271033 05
OR RR MEDICARE P00294103 01

Office Location

Street Address 700 N HAYDEN ISLAND DR STE 100
City PORTLAND
State OR
Zip Code 97217-8130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558719450 Ascension Medical Group LLC Family Medicine 700 N Hayden Island Dr Ste 100, Portland, OR 97217-8130 2016-06-01
1942522388 John Henry Hardy Jr. Family Medicine 700 N Hayden Island Dr Ste 100, Portland, OR 97217-8130 2010-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326531666 Working Class Medicine LLC Clinic/Center 2133 N. Willis Blvd, Studio D, Portland, OR 97217 2018-06-12
1235643602 Autism Outreach of Oregon Occupational Therapist 10350 N Vancouver Way #1043, Portland, OR 97217 2017-11-21
1689183717 Kai-uwe H. Hahn Dmd Dba Edelweiss Dental Clinic/Center 3503 N Lombard Street, Portland, OR 97217 2017-09-20
1407308125 Occupational Health Centers of The Southwest, P.a. (tx) Clinic/Center 3449 N Anchor Street, Ste 300a, Portland, OR 97217 2016-10-28
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1801282199 Justine Osborn Specialist 4310 N. Interstate Ave, Portland, OR 97217 2015-04-13
1578957742 Paul Buck Md, Dds, PC Clinic/Center 3332 N Lombard St, Suite C, Portland, OR 97217 2015-03-25
1295158186 Rebecca Bulleri Massage Therapist 5416 N. Maryland Ave, Portland, OR 97217 2014-01-28
1659793107 Shellmire Unlimited, P.C. Community/Behavioral Health 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 2014-01-16
1417207994 Sportland Acupuncture LLC Acupuncturist 1025 N Humboldt, Portland, OR 97217 2012-09-12
Find all providers in zip 97217

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619333259 Bhs Physician Services of Oregon PC Internal Medicine 601 Sw 2nd Ave Ste 2100, Portland, OR 97204-3158 2016-01-12
1619967577 Vern R Williams Internal Medicine 15 N Morris St, Portland, OR 97227-1541 2005-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205341617 Mid-valley Healthcare Inc Internal Medicine 111 N Main St Ste A, Lebanon, OR 97355-2869 2017-12-07
1366953861 Ortc, LLC Internal Medicine 155 Ne Revere Ave Ste 150, Bend, OR 97701-4147 2017-10-24
1730552845 Kpg Oregon, LLC Internal Medicine 486 12th Street #200, Astoria, OR 97103 2015-11-11
1316948862 Richard Hindmarsh Internal Medicine 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 2005-08-09
1568625788 William Barbee Mitchell Internal Medicine 715 Lincoln St, Eugene, OR 97401-2502 2008-07-08
1932129160 Robert John Naymik Internal Medicine 8495 Crater Lake Hwy, White City, OR 97503-3011 2006-07-20
1134145311 H Kay Wendlandt Internal Medicine 17882 Se Mcloughlin Blvd, Milwaukie, OR 97267-6103 2006-07-14
1851335913 Bruce E. Matthews Internal Medicine 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 2006-06-16

Competitor

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City PORTLAND
Zip Code 97217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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