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Individual

DR. LARRY WEI MAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4925 N ALBINA AVE, PORTLAND, OR 97217-2609
(503) 548-4922
(503) 459-4495
Mailing address
4925 N ALBINA AVE, PORTLAND, OR 97217-2609
(503) 548-4922
(503) 459-4495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD152505
OR
2084P0800X
Psychiatry Physician
MD152505
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD152505
OR

Other

Enumeration date
05/23/2007
Last updated
09/06/2013
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