Uy, Olivia Tan

Uy, Olivia Tan is an individual health care provider with primary practice located at 10123 Se Market St , Portland OR 97216-2532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Uy, Olivia Tan can be contacted via phone (503) 251-6129.

Contact Information

Primary practice address
10123 Se Market St Portland OR 97216-2532
Phone: (503) 251-6129
Fax: (503) 261-6648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MDO9955 Oregon

Profile Details

NPI number 1487789806
LBN Legal business name Uy, Olivia Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated May 14th, 2008 - about 18 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 1487789806 NPPES
Oregon MEDICAID 286692

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