Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD24373 | OR |
NPI | 1083689269 |
---|---|
Provider Name | Dr. Lewis L Low |
First Address | Portland, OR 97229-8087 |
Second Address | Portland, OR 97210-3025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
226872 | (05) | OR |
G16281 | (02) | OR |