Organization
IVAN P LAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN PE LAW MD (PRESIDENT OF CORPORATION)
(503) 288-5067
Entity
Organization
Contact information
Practice address
2707 NE 33RD AVE, PORTLAND, OR 97212-3649
(503) 288-5067
(503) 282-9670
Mailing address
2707 NE 33RD AVE, PORTLAND, OR 97212-3649
(503) 288-5067
(503) 282-9670
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD10631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041160
—
OR
05
—
1233709
—
WA
Enumeration date
02/12/2007
Last updated
02/05/2008
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