Individual
DR. LILLIAN S. IWATSUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1165 UNION ST NE, SUITE 200, SALEM, OR 97301-4693
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2470
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26846
AZ
208000000X
Pediatrics Physician
Primary
28745
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603400
—
OR
Enumeration date
01/06/2006
Last updated
12/19/2016
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