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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PATAN GULTAWATVICHAI, M.D.

Active

PATAN GULTAWATVICHAI, M.D. is a Hematology healthcare provider located in PORTLAND, Oregon. NPI 1720335987 is currently active in the NPPES registry. Verify at CMS.

Hematology · PORTLAND, OR

Registration Details

NPI Number
1720335987
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2012 (14.033791930908 yrs)
Last Updated
Nov 27, 2024
Licenses
MD221300 (OR)
274829 (MA)

Practice Information

Address
9495 SW LOCUST ST STE G
PORTLAND, OR, 972236683
Browse OR providers · Browse ZIP 97223
Phone
9713144522
Fax
9713144527
Primary Specialty
Hematology
207RH0003X
Additional Specialty
Hematology

Other Hematology Providers in PORTLAND, OR

Name Credential NPI
DR. JAY CHRISTOPHER ANDERSEN M.D. 1922001023
DR. DAVID HAROLD REGAN M.D. 1255334926
DANIEL RICHARD GRUENBERG M.D. 1467455238
DR. JEFFREY IRVING MENASHE M.D. 1871596551
WILLIAM M MOONEY M.D. 1467455014
MARK SELIGMAN M.D. 1528061173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.