# IVAN P LAW MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649312398
- **Authorized official:** MR. IVAN PE LAW MD (PRESIDENT OF CORPORATION)
- **Authorized official phone:** (503) 288-5067

## Contact information

- **Practice address:** 2707 NE 33RD AVE, PORTLAND, OR 97212-3649
- **Practice address phone:** (503) 288-5067
- **Practice address fax:** (503) 282-9670
- **Mailing address:** 2707 NE 33RD AVE, PORTLAND, OR 97212-3649
- **Mailing address phone:** (503) 288-5067
- **Mailing address fax:** (503) 282-9670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | MD10631 | OR | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 02/05/2008