Sanjay Soman, is a
Case Manager/care Coordinator based in Portland, Oregon. Sanjay Soman is licensed to practice in * (Not Available) (license number 19-QMHA-I-01590) and his current practice location is
14600 Nw Cornell Rd, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 645-3581.
NPI number for Sanjay Soman is 1902199946 and his current mailing address is 14600 Nw Cornell Rd, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902199946.
Healthcare Provider's Profile
| Full Name | Sanjay Soman |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 14600 Nw Cornell Rd, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902199946
- Provider Enumeration Date: 05/24/2011
- Last Update Date: 10/22/2020
Medical Identifiers
Medical identifiers for Sanjay Soman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902199946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15-05-31 (Oregon) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 19-QMHA-I-01590 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sanjay Soman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sanjay Soman,
14600 Nw Cornell Rd,
Portland, OR 97229-5442
Ph: () - | Sanjay Soman,
14600 Nw Cornell Rd,
Portland, OR 97229-5442
Ph: (503) 645-3581 |
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