Provider Demographics
NPI:1730286501
Name:BUIST, ALINE SONIA CHAPMAN (MD)
Entity Type:Individual
Prefix:
First Name:ALINE SONIA
Middle Name:CHAPMAN
Last Name:BUIST
Suffix:
Gender:F
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 ROAD
Mailing Address - Street 2:MAIL CODE UHN-67
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3098
Mailing Address - Country:US
Mailing Address - Phone:503-494-7680
Mailing Address - Fax:503-418-1497
Practice Address - Street 1:3181 SW SAM JACKSON PARK ROAD
Practice Address - Street 2:MAIL CODE UHN-67
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3098
Practice Address - Country:US
Practice Address - Phone:503-494-7680
Practice Address - Fax:503-418-1497
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD07657207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR246298Medicaid
E20597Medicare UPIN