DR. ILMAR SOOT M.D. NPI 1093737934

NPI Information

  • NPI: 1093737934
  • Provider Name: DR. ILMAR SOOT, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 11782 SW BARNES RD
    STE 300
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 214-5200

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NPI Details

DR. Ilmar Soot, M.D. is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Ilmar Soot, M.D. NPI is 1093737934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11782 SW BARNES RD
STE 300
PORTLAND, OR
ZIP 97225-914
Phone: (503) 214-5200
Fax: (503) 906-6613

The enumeration date for this NPI number is 7/23/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist07178OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1181263MEDICAIDOREGON
2C93818MEDICARE UPINOREGON
3OOWCBBVIMEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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