DR. ALFREDO JOSE SOTO (NPI# 1841308632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841308632 |
Entity Type | Individual |
Full Name | DR. ALFREDO JOSE SOTO |
Credential | M.D. |
Practice Address |
182 Sw Academy St Suite 30 Dallas OR 97338-1922 |
Mailing Address |
64 Touchstone Lake Oswego OR 97035-1909 |
Practice Telephone | 5036239289 |
Practice Fax Number | 5038311726 |
Mailing Telephone | 5035487363 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2013-07-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD21696 | OR | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD21696 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | BS6902642 | 01 | |
OR | 122564 | 05 | |
OR | STATE MEDICAL LICENSE | MD21696 | 01 |
Street Address |
182 SW ACADEMY ST SUITE 30 |
City | DALLAS |
State | OR |
Zip Code | 97338-1922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528669918 | Helen Canchola Martinez | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-11-03 |
1013525542 | Zachary Beeler | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-07-21 |
1376175398 | Theresa Ann Kollars | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-02-07 |
1346883071 | Heather Grandis | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-25 |
1154963320 | Tori A Geter | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-09 |
1801437231 | Maria Ross | Student in an Organized Health Care Education/Training Program | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-07 |
1144871096 | Kayli Peterson | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-09-23 |
1174170187 | Mikel-anne Devine | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-23 |
1699320440 | Kelli Diane Bennett | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-08 |
1487216404 | Chi Kindig | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
Find all providers in zip 97338 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689230138 | Matthew Faubion | Psychiatry & Neurology | 2816 Vine St Apt 262, Dallas, TX 75204-4088 | 2019-05-09 |
1386106037 | Kaylee Marie Davis | Psychiatry & Neurology | Department of Psychiatry: 5323 Harry Hines Blvd., Dallas, TX 75390-9070 | 2019-04-02 |
1407328594 | Better Living Associates Pa | Psychiatry & Neurology | 7859 Walnut Hill Ln Ste 320, Dallas, TX 75230-5635 | 2018-12-30 |
1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
1992206411 | Inna Kogan Md, Pa | Psychiatry & Neurology | 13101 Preston Rd Ste 504, Dallas, TX 75240-5231 | 2018-02-21 |
1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
1558725051 | John Russel Dykema IIi | Psychiatry & Neurology | 6363 Forest Park Rd,7th Floor Ste749, Dallas, TX 75390-2500 | 2016-04-11 |
1578927497 | Mohona Sadhu | Psychiatry & Neurology | 5151 Harry Hines Blvd 4th Fl, Dallas, TX 75390-7201 | 2016-04-06 |
1629430970 | Jennifer N Yoon | Psychiatry & Neurology | 6363 Forest Park Road 7th Fl Ste 749, Dallas, TX 75390-1023 | 2016-03-25 |
1245603356 | Jeffry Andresen | Psychiatry & Neurology | 503 Monte Vista Dr, Dallas, TX 75223-1239 | 2015-11-11 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.