Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD26777 | OR |
NPI | 1033323613 |
---|---|
Provider Name | Laila Raad Sillay |
First Address | Portland, OR 97225-6617 |
Second Address | Portland, OR 97225-6617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 10/06/2014 |