Individual
DR. BO WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 683-5001
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263517
MA
207R00000X
Internal Medicine Physician
294546
NY
207RH0003X
Hematology & Oncology Physician
Primary
203312
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294546
—
NY
Enumeration date
06/08/2015
Last updated
08/11/2021
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