| Joseph P Sonderleiter, Md, Pc | |
|
5410 Sw Macadam Ave Ste 200 Portland OR 97239-6105 | |
| (503) 223-7563 | |
| (503) 223-7564 |
| Full Name | Joseph P Sonderleiter, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 5410 Sw Macadam Ave, Portland, Oregon |
| Authorized Official Name and Position | Joseph Sonderleiter (OWNER) |
| Authorized Official Contact | 5032237563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P Sonderleiter, Md, Pc 5410 Sw Macadam Ave Ste 200 Portland OR 97239 Ph: (503) 223-7563 | Joseph P Sonderleiter, Md, Pc 5410 Sw Macadam Ave Ste 200 Portland OR 97239-6105 Ph: (503) 223-7563 |
| NPI Number | 1861573347 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 11/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861573347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD24411 (Oregon) | Primary |
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