Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 166902 | OR |
NPI | 1013234442 |
---|---|
Provider Name | Allison Rebecca Loh |
First Address | Portland, OR 97239-4146 |
Second Address | Portland, OR 97239-4146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2010 |
Last Update Date | 01/11/2017 |