Provider Demographics
NPI:1508828112
Name:MA, OSCAR JOHN (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:JOHN
Last Name:MA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:DEPT OF EMERGENCY MEDICINE, CDW-EM
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-7008
Mailing Address - Fax:503-494-4997
Practice Address - Street 1:3181 SW SAM JACKSON PARK ROAD, OHSU
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE, CDW-EM
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3098
Practice Address - Country:US
Practice Address - Phone:503-494-7008
Practice Address - Fax:503-494-4997
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD27108207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF48738Medicare UPIN
MO2639931AMedicare ID - Type UnspecifiedMEDICARE NUMBER