Individual
SUNISA CHANYAPUTHIPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 NE MAY LN, MCMINNVILLE, OR 97128-9272
(503) 472-1338
(503) 434-8597
Mailing address
115 NE MAY LN, MCMINNVILLE, OR 97128-9272
(503) 472-1338
(503) 434-8597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25513
OR
Other
Enumeration date
05/26/2006
Last updated
01/19/2012
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