Individual
MR. IVAN PE LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
176 1ST AVE N, ILWACO, WA 98624-9137
(360) 642-3747
(360) 642-3361
Mailing address
PO BOX N, ILWACO, WA 98624-0319
(360) 642-3747
(360) 642-3361
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00031977
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041160
—
OR
05
—
1233709
—
WA
Enumeration date
12/04/2007
Last updated
06/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us