Search › Oregon › 207RH0003X
Patan Gultawatvichai, M.D
NPI 1720335987 · on the registry since 2012
Practice
- Address
- 9495 Sw Locust St Ste G
Portland, OR 97223 - Phone
- (971) 314-4522
- Fax
- (971) 314-4527
- Organisation at this address
- James W Baker Md Llc
Starling Oncology Or, A Professional Corporation
Starling Oncology Or, A Professional CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 5 Neponset St, Worcester, MA
- 55 Lake Ave N, Worcester, MA
- 2720 Commercial St Se, Salem, OR
- 275 Nichols Rd, Fitchburg, MA
Registry record
- Primary taxonomy
- 207RH0003X
207RH0003X
- Also registered as
- 207RH0003X
- Licence states on file
- OR, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon