Organization Active NPI

Ivan P Law MD PC

  • Hematology & Oncology Physician
  • Portland, OR
National Provider Identifier
1649312398
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD10631 Issued in OR
Legal business name
IVAN P LAW MD PC
Practice address
2707 NE 33Rd Ave
Portland, OR 97212-3649
Phone
(503) 288-5067
Fax
(503) 282-9670
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Ivan Pe Law, MDNPI 1720260441
Title
President of Corporation
Phone
(503) 288-5067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X MD10631 OR Primary

Addresses

Primary practice location

2707 NE 33Rd Ave
Portland, OR 97212-3649

Mailing address

2707 NE 33Rd Ave
Portland, OR 97212-3649
Phone (503) 288-5067

Other identifiers 2

IdentifierTypeStateIssuer
1233709MedicaidWA
041160MedicaidOR

National Provider Directory

National Provider Directory

Locations

2707 NE 33rd Ave
Portland, OR 97212
Phone (503) 288-5067

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1649312398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 NE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123649",
            "telephone_number": "503-288-5067",
            "fax_number": "503-282-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 NE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123649",
            "telephone_number": "503-288-5067",
            "fax_number": "503-282-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN P LAW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "PE",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "503-288-5067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD10631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233709",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041160",
            "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 Feb 5, 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.

Verify at the official NPI Registry.