Tam, Lori

Tam, Lori is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Suite 498, Portland OR 97225-6652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Tam, Lori can be contacted via phone (503) 216-0900.

Contact Information

Primary practice address
9427 Sw Barnes Rd Suite 498 Portland OR 97225-6652
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD60400519 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD159837 Oregon

Profile Details

NPI number 1306036108
LBN Legal business name Tam, Lori
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Oct 19th, 2020 - about 5 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 1306036108 NPPES
Washington Other P01388724 PHS - RAILROAD MEDICARE - WA
Washington MEDICAID 500657817 PHS - RAILROAD MEDICARE - WA
Washington Other P01247406 PHS - RAILROAD MEDICARE - WA

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