Robert Paul Sotta, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD17330 Issued in OR

Practice address

17020 SW Upper Boones Ferry Road
Suite 201
Tigard, OR 97224

Phone

(971) 250-0500

Fax

(971) 250-0501

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1942207667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 NORWOOD DR",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155348",
            "telephone_number": "503-709-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY ROAD",
            "address_2": "SUITE 201",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "971-250-0500",
            "fax_number": "971-250-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTA",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD17330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tigard, OR
• Providers in Tigard, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.