Individual
DEAN LI-JIN LAOCHAMROONVORAPONGSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 SW 4TH AVE, 616, PORTLAND, OR 97201-5512
(917) 848-5581
Mailing address
1720 SW 4TH AVE, 616, PORTLAND, OR 97201-5512
(917) 848-5581
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153816
OR
207LP3000X
Pediatric Anesthesiology Physician
153816
OR
Other
Enumeration date
05/31/2008
Last updated
05/07/2012
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