Patan Gultawatvichai, MD - Portland, OR

Patan Gultawatvichai, MD

Hematology & Oncology Physician in Portland, Oregon

NPI 1720335987

Patan Gultawatvichai is a Hematology & Oncology Physician based in Worcester, OR and is specialized in Hematology & Oncology. Patan Gultawatvichai practices in Portland, OR and has the professional credentials of MD. The NPI Number for Patan Gultawatvichai is 1720335987 and holds a License No. MD221300 (Oregon).

The current practice location address for Patan Gultawatvichai is 9495 Sw Locust St Ste G, Portland, OR and can be reached out via phone at 971-314-4522 and via fax at 971-314-4527.

Location: 9495 Sw Locust St Ste G, Portland, OR, 01606-2714

NPI Number

1720335987

Provider Name

Patan Gultawatvichai

Credential

Provider Entity Type

Individual

Gender

Male

Address

9495 Sw Locust St Ste G, Portland, OR, 01606-2714

Phone Number

971-314-4522

Fax Number

971-314-4527

Provider Enumeration Date

08/07/2012

Last Update Date

12/14/2024

Identifier	Type	State	Issuer
110115607A	05	MA

Address

9495 Sw Locust St Ste G

City

Portland

State

Oregon

Zip

97223-6683

Phone Number

971-314-4522

Fax Number

971-314-4527

Address

9495 Sw Locust St Ste G

City

Portland

State

Oregon

Zip

97223-6683

Phone Number

971-314-4522

Fax Number

971-314-4527

Type

Allopathic & Osteopathic Physicians

Classification

Internal Medicine

Speciality

Hematology & Oncology

Taxonomy

207RH0003X

License No.

MD221300 (Oregon)

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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