Suwanjindar, Pan

Suwanjindar, Pan is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave # T100 Department Of Pathology, Portland OR 97210-3025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as her primary health care specialty. Suwanjindar, Pan can be contacted via phone (503) 413-5701.

Contact Information

Primary practice address
1015 Nw 22Nd Ave # T100 Department Of Pathology Portland OR 97210-3025
Fax: (503) 413-6411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X MD10833 Oregon

Profile Details

NPI number 1114066453
LBN Legal business name Suwanjindar, Pan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Apr 17th, 2009 - about 16 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 1114066453 NPPES
Oregon MEDICAID 012851
Oregon MEDICAID 8119810

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