Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | OR MD07977 | OR |
NPI | 1710090832 |
---|---|
Provider Name | Dr. Robert Kao |
First Address | West Linn, OR 97068-1430 |
Second Address | Portland, OR 97227-1196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |