Soman, Sanjay

Soman, Sanjay is an individual health care provider with primary practice located at 14600 Nw Cornell Rd , Portland OR 97229-5442. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Soman, Sanjay can be contacted via phone (503) 645-3581.

Contact Information

Primary practice address
14600 Nw Cornell Rd Portland OR 97229-5442
Phone: (503) 645-3581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15-05-31 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X 19-QMHA-I-01590

Profile Details

NPI number 1902199946
LBN Legal business name Soman, Sanjay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated Oct 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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