Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Proleta Datta, MDPHD

Individual provider Neurology Physician · NPI 1326393695

Dr. Proleta Datta, MDPHD is a Neurology in Portland, Oregon. Qualified in 2004, 22 years ago. Practices with Bay Area Hospital District, a 124-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Nebraska, Oregon and Texas.

Years since qualifying
22
Licensed in
CA, NE, OR, TX
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7772
Fax: (503) 494-7242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 30734 (NE)
Neurology Physician Taxonomy 2084N0400X · Licence MD203710 (OR)
Neurology Physician Taxonomy 2084N0400X · Licence A142041 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP10043519 (TX)

Record details

NPI number1326393695
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJuly 23, 2012
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bay Area Hospital District — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Portland