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
Phone: (503) 413-5701
Fax: (503) 413-6411
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114066453 | NPPES |
Oregon | MEDICAID | 012851 | |
Oregon | MEDICAID | 8119810 |
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