Pan Suwanjindar, M.D.

Primary specialty

Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X

License

MD10833 Issued in OR

Practice address

1015 NW 22ND Ave # T100
Department of Pathology
Portland, OR 97210-3025

Phone

(503) 413-5701

Fax

(503) 413-6411

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Papassorn Hiranmas Suwanjindar Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade Pathology Services, Corp

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, OR
  • NPI 1154465656
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1114066453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE # T100",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-5701",
            "fax_number": "503-413-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE # T100",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-5701",
            "fax_number": "503-413-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUWANJINDAR",
        "first_name": "PAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "OR",
            "license": "MD10833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012851",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8119810",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAPASSORN",
            "last_name": "SUWANJINDAR",
            "middle_name": "HIRANMAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasmine M Sutton
• Jonathan Grant Sutton, LAC
• Mark Sutton, MSW
• Steven C Sutton, LCSW
• Terri Joann Sutton, LPCA
• Suzanne Cleland Zamudio MD PC
• Suzanne D. Lady, DC, PC
• Suzanne Scopes ND PC
• Alyssa Suzuki, DC
• Carol M Suzuki, MD

• Hematology (Pathology) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Hematology (Pathology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.