PATAN GULTAWATVICHAI

PORTLAND, OR
NPI1720335987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MA  274829)
Enumeration Date2012-08-07
Last Update Date2024-11-04
Business Address
PATAN GULTAWATVICHAI M.D.
9495 SW LOCUST ST STE G
PORTLAND, OR 97223-6683
Phone number: 971-314-4522
Mailing Address
PATAN GULTAWATVICHAI M.D.
5 NEPONSET ST
WORCESTER, MA 01606-2714
Phone number:
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