Individual
JAMIE O LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # L466, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY - OFFICE SJH 23, PORTLAND, OR 97239-3011
(503) 679-2025
Mailing address
3181 SW SAM JACKSON PARK RD # L466, PORTLAND, OR 97239-3011
(503) 679-2025
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60471447
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD157181
OR
207VX0000X
Obstetrics Physician
74714991205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500645192
—
OR
Enumeration date
11/20/2008
Last updated
09/13/2022
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