Individual
RUI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D
Contact information
Practice address
4805 NE GLISAN ST, SUITE 6N40, PORTLAND, OR 97213
(503) 215-5696
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD160843
OR
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD168043
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655486
—
OR
Enumeration date
07/02/2007
Last updated
03/19/2021
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