Provider Demographics
NPI:1558308114
Name:SAVIN, MICHAEL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALAN
Last Name:SAVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:MAIL CODE: L586
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-5672
Mailing Address - Fax:503-494-3257
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:MAIL CODE: L586
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-5672
Practice Address - Fax:503-494-3257
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD169734207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100216200BMedicaid
TX138218610Medicaid
TX138218608OtherCHSCN
TX138218604Medicaid
TX138218605Medicaid
TX138218607Medicaid
TX8R1543OtherBLUE CROSS OF TEXAS
TX138218601Medicaid
TX138218606Medicaid
TX138218608OtherCHSCN
TX138218606Medicaid
TX830001767Medicare PIN
TX138218607Medicaid
OK100216200BMedicaid
TX138218601Medicaid
TX88239KMedicare PIN