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JOSEPH P SONDERLEITER MD PC NPI 1861573347


NPI Information

NPI: 1861573347
Provider Name: JOSEPH P SONDERLEITER, MD, PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
5410 SW MACADAM AVE
STE 200
PORTLAND, OR
ZIP 97239
Phone: (503) 223-7563
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JOSEPH P SONDERLEITER, MD, PC is a child and adolescent psychiatry psychiatry neurology in Portland, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. JOSEPH P SONDERLEITER, MD, PC NPI is 1861573347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5410 SW MACADAM AVE
STE 200
PORTLAND, OR
ZIP 97239-105
Phone: (503) 223-7563
Fax: (503) 223-7564

The provider's authorized official is Joseph Sonderleiter .
The authorized official title is Owner and has the following contact phone number (503) 223-7563.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 11/5/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD24411OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G61900MEDICARE UPINOREGON

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: 4/28/2024

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