Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 194372 | OR |
NPI | 1023351137 |
---|---|
Provider Name | Apurva Pandey |
First Address | Portland, OR 97210-2974 |
Second Address | Portland, OR 97210-2974 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 08/10/2019 |