Individual provider · Type 1 NPI

Patan Gultawatvichai, MD

Hematology & Oncology Physician · Portland, OR

NPI number 1720335987 Active

Practice location

9495 SW Locust St Ste G
Portland, OR 97223-6683

Call (971) 314-4522 Map

Fax (971) 314-4527

Mailing address

5 Neponset St
Worcester, MA 01606-2714

Other practice locations

5 Neponset St, Worcester, MA 01606-2714 · (508) 556-5400
55 Lake Ave N, Worcester, MA 01655 · (508) 334-3550
2720 Commercial St SE, Salem, OR 97302-4495 · (971) 314-4522
275 Nichols Rd, Fitchburg, MA 01420-1919 · (978) 343-5048

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	MD221300 (OR)
Hematology & Oncology Physician	207RH0003X	274829 (MA)

Hematology & Oncology Physician: 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.

4 other providers at this address

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About NPI 1720335987

Patan Gultawatvichai, MD's National Provider Identifier is 1720335987, issued on Aug 7, 2012. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Portland, OR. The record was last updated on Nov 27, 2024.