Provider Demographics
NPI:1982920393
Name:HAN, LEO LIU (MD)
Entity Type:Individual
Prefix:DR
First Name:LEO
Middle Name:LIU
Last Name:HAN
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 # L466
Mailing Address - Street 2:OREGON HEALTH AND SCIENCE UNIVERSITY
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:303-494-2160
Mailing Address - Fax:
Practice Address - Street 1:3181 SW SAM JACKSON PARK ROAD, MAILCODE: L466
Practice Address - Street 2:OREGON HEALTH AND SCIENCE UNIVERSITY
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:503-494-2685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD167403207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology