Wang, Tom D.

Wang, Tom D. is an individual health care provider with primary practice located at 3303 Sw Bond Ave Mail Code: Ch 5E, Portland OR 97239-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Wang, Tom D. can be contacted via phone (503) 494-5678.

Contact Information

Primary practice address
3303 Sw Bond Ave Mail Code: Ch 5E Portland OR 97239-4501
Phone: (503) 494-5678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 14868 Oregon

Profile Details

NPI number 1497763932
LBN Legal business name Wang, Tom D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 13th, 2007 - about 19 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 1497763932 NPPES
Oregon MEDICAID 055868

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