Individual
OLIVIA KAMAYANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4004 KRUSE WAY PL STE 300, LAKE OSWEGO, OR 97035-2479
(503) 216-1500
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301091621
MI
207Q00000X
Family Medicine Physician
Primary
MD154020
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639539
—
OR
Enumeration date
07/07/2008
Last updated
03/18/2021
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