Individual
DR. PAN SUWANJINDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE # T100, DEPARTMENT OF PATHOLOGY, PORTLAND, OR 97210-3025
(503) 413-5701
(503) 413-6411
Mailing address
1015 NW 22ND AVE # T100, DEPARTMENT OF PATHOLOGY, PORTLAND, OR 97210-3025
(503) 413-5701
(503) 413-6411
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
MD10833
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012851
—
OR
05
—
8119810
—
WA
Enumeration date
02/05/2007
Last updated
04/17/2009
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