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IVAN P LAW MD PC NPI 1649312398


NPI Information

NPI: 1649312398
Provider Name: IVAN P LAW MD PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2707 NE 33RD AVE
PORTLAND, OR
ZIP 97212
Phone: (503) 288-5067
Get Directions

IVAN P LAW MD PC is a hematology and oncology internal medicine in Portland, OR. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. IVAN P LAW MD PC NPI is 1649312398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2707 NE 33RD AVE
PORTLAND, OR
ZIP 97212-649
Phone: (503) 288-5067
Fax: (503) 282-9670

The provider's authorized official is Ivan Pe Law .
The authorized official title is President Of Corporation and has the following contact phone number (503) 288-5067.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 2/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyMD10631OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C94411MEDICARE UPIN
21233709MEDICAIDWASHINGTON
3R139885MEDICARE PINOREGON
4G8808571MEDICARE PINWASHINGTON
5041160MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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