Individual
DR. SAMUEL S.M. LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 NW 22ND AVE STE 660, PORTLAND, OR 97210-3083
(503) 413-7162
(503) 413-7148
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD22165
OR
207RC0000X
Cardiovascular Disease Physician
MD22165
OR
207RI0011X
Interventional Cardiology Physician
Primary
MD22165
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130272
—
OR
Enumeration date
07/12/2005
Last updated
05/01/2025
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