Healthcare Provider Details

I. General information

NPI: 1972132868
Provider Name (Legal Business Name): SOMTOCHI IFEYINWA OKAFOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICINE CIR # 1F
DURHAM NC
27710-4000
US

IV. Provider business mailing address

3181 SW SAM JACKSON PARK RD
PORTLAND OR
97239-3011
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-3834
  • Fax:
Mailing address:
  • Phone: 503-494-8510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2026-00445
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: