Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MD154709 | OR |
N | 208000000X | Pediatrician | MD154709 | OR |
N | 208000000X | Pediatrician | MD439676 | PA |
N | 208000000X | Pediatrician | MT190142 | PA |
NPI | 1376748459 |
---|---|
Provider Name | Dr. Esther Lok-Yan Yue |
First Address | Portland, OR 97202-6702 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 14/04/2014 |