Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD27725 | OR |
NPI | 1295719193 |
---|---|
Provider Name | Dr. Catherine Kay Lum |
First Address | Portland, OR 97227-1196 |
Second Address | Portland, OR 97227-1196 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 18/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G83092 | LICENSE (01) | CA |
MD27725 | LICENSE (01) | OR |