Provider Demographics
NPI:1831506302
Name:KWAN, ISABEL PUI-YEE (MD)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:PUI-YEE
Last Name:KWAN
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 1:501 N GRAHAM STREET
Mailing Address - Street 2:SUITE 265
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227
Mailing Address - Country:US
Mailing Address - Phone:803-282-7002
Mailing Address - Fax:503-280-1290
Practice Address - Street 1:501 N GRAHAM STREET
Practice Address - Street 2:SUITE 265
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227
Practice Address - Country:US
Practice Address - Phone:803-282-7002
Practice Address - Fax:503-280-1290
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD197434208000000X, 2080N0001X
WAMD61029063208000000X, 2080N0001X
IL036142730208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics