Individual
DR. JIANZHOU WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8190
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8190
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD 00048490
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD 27735
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.199952
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473235
—
LA
05
—
8536658
—
WA
Enumeration date
07/10/2006
Last updated
04/24/2009
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