Active NPI
Olivia Tan Uy, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Portland, OR
National Provider Identifier
1487789806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MDO9955
- Practice address
- 10123 SE Market St
Portland, OR 97216-2532 - Phone
- (503) 251-6129
- Fax
- (503) 261-6648
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MDO9955 | OR | Primary |
Addresses
Primary practice location
10123 SE Market St
Portland, OR 97216-2532
Mailing address
10123 SE Market St
Portland, OR 97216-2532
Phone (503) 251-6129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286692 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDO9955 | OR | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1487789806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10123 SE MARKET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162532",
"telephone_number": "503-251-6129",
"fax_number": "503-261-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 SE MARKET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162532",
"telephone_number": "503-251-6129",
"fax_number": "503-261-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UY",
"first_name": "OLIVIA",
"middle_name": "TAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OR",
"license": "MDO9955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286692",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.