Iwatsuki, Lillian S.

Iwatsuki, Lillian S. is an individual health care provider with primary practice located at 1165 Union St Ne Suite 200, Salem OR 97301-4693. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Iwatsuki, Lillian S. can be contacted via phone (503) 399-2424.

Contact Information

Primary practice address
1165 Union St Ne Suite 200 Salem OR 97301-4693
Fax: (503) 375-7429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26846 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28745 Oregon

Profile Details

NPI number 1770561938
LBN Legal business name Iwatsuki, Lillian S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Dec 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770561938 NPPES
Oregon MEDICAID 500603400

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