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Individual

DR. SAMUEL J WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
875 OAK ST SE STE 1080, SALEM, OR 97301-3977
(503) 561-5294
(503) 561-4789
Mailing address
PO BOX 391, SALEM, OR 97308-0391
(503) 561-5135
(503) 561-6807

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD26850
OR
2085R0203X
Therapeutic Radiology Physician
MD26850
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242787
OR
Enumeration date
05/02/2007
Last updated
01/07/2020
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