Uy, Olivia Tan
Uy, Olivia Tan is an individual health care provider with primary practice located at 10123 Se Market St , Portland OR 97216-2532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Uy, Olivia Tan can be contacted via phone (503) 251-6129.Contact Information
Primary practice address
10123 Se Market St
Portland OR 97216-2532
Phone: (503) 251-6129
Fax: (503) 261-6648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MDO9955 | Oregon |
Profile Details
| NPI number | 1487789806 |
|---|---|
| LBN Legal business name | Uy, Olivia Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | May 14th, 2008 - 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 | 1487789806 | NPPES |
| Oregon | MEDICAID | 286692 |
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