JESSIE FAN

PORTLAND, OR
NPI1932179439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: OR  MD27402)
Additional Taxonomies207L00000X Anesthesiology
(Licence: NY  227596)
Enumeration Date2006-01-25
Last Update Date2012-02-15
Business Address
Dr. JESSIE FAN MD
120 NW 14TH AVE SUITE 300
PORTLAND, OR 97209-2643
Phone number: 503-299-9906
Mailing Address
Dr. JESSIE FAN MD
2415 SE IVON ST
PORTLAND, OR 97202-1287
Phone number: 503-922-0926