MEDICARE: ROBERT PAUL SOTTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD17330	OR

General Provider Information

NPI Number	:	1942207667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT PAUL SOTTA MD

Provider Business Mailing Address
First Line	:	4623 NORWOOD DR
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-5348
Country	:	US
Telephone Number	:	503-709-2979
Fax Number	:

Provider Business Practice Location Address
First Line	:	17020 SW UPPER BOONES FERRY ROAD
Second Line	:	SUITE 201
City	:	TIGARD
State	:	OR
Zip	:	97224
Country	:	US
Telephone Number	:	971-250-0500
Fax Number	:	971-250-0501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/28/2024

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