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1922526391

NPI Code Detail

MEDICARE: LUKE DANG

MEDICARE: LUKE DANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZD0900X	Dermatopathology (Pathology) Physician	MD223968	OR
2	207ZD0900X	Dermatopathology (Pathology) Physician	A179113	CA
3	207ZD0900X	Dermatopathology (Pathology) Physician	MD61419846	WA
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A179113	CA
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD61419846	WA
6	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD223968	OR

General Provider Information

NPI Number	:	1922526391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE DANG

Provider Business Mailing Address
First Line	:	966 12TH ST SE STE 130
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-2860
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	966 12TH ST SE STE 130
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-2860
Country	:	US
Telephone Number	:	503-837-6395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	03/12/2025

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1962389593 — MARTINA ANDREA SHANNON PA-C
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1376256032 — SUMMIT SMILES PLLC
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Directions to “ LUKE DANG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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