Lai, Wallace I

Lai, Wallace I is an individual health care provider with primary practice located at 2480 Liberty St Ne Suite 110, Salem OR 97301-8380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Lai, Wallace I can be contacted via phone (503) 371-1756.

Contact Information

Primary practice address
2480 Liberty St Ne Suite 110 Salem OR 97301-8380
Phone: (503) 371-1756
Fax: (503) 584-7971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD17813 Oregon

Profile Details

NPI number 1578503249
LBN Legal business name Lai, Wallace I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578503249 NPPES
Oregon Other 060060218 RAILROAD MEDICARE
Oregon MEDICAID 100009591 RAILROAD MEDICARE
Oregon MEDICAID 288256 RAILROAD MEDICARE

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