MEDICARE: WAI MAN BELINDA SIU MD

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	207Q00000X	Family Medicine Physician	MD168402	OR
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD168402	OR

General Provider Information

NPI Number	:	1275854671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAI MAN BELINDA SIU MD

Provider Business Mailing Address
First Line	:	8329 SW BEAVERTON HILLSDALE HWY
Second Line	:	BLDG 2
City	:	PORTLAND
State	:	OR
Zip	:	97225
Country	:	US
Telephone Number	:	503-414-5160
Fax Number	:

Provider Business Practice Location Address
First Line	:	8329 SW BEAVERTON HILLSDALE HWY BLDG 2
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-2215
Country	:	US
Telephone Number	:	503-414-5160
Fax Number	:

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

Provider Enumeration Date	:	06/20/2010
Last Update Date	:	03/17/2018

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Directions to “ WAI MAN BELINDA SIU MD” Practice Location

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