IVAN A WANG

PORTLAND, OR
NPI1598042764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA155662)
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2011-11-15
Last Update Date2018-02-08
Business Address
IVAN A WANG PA-C
5100 SW MACADAM AVE STE 200
PORTLAND, OR 97239-3827
Phone number: 971-202-5500
Mailing Address
IVAN A WANG PA-C
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005-1342
Phone number: 503-352-6092