Individual
JEANNIE LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2195
(503) 216-2196
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD22295
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730171117
—
WA
05
—
288466
—
OR
05
—
8240178
—
WA
Enumeration date
08/22/2005
Last updated
12/05/2023
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