Individual
DR. LORI LEE MCMULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6101
(503) 494-1159
Mailing address
2054 RIVERSIDE AVE, APARTMENT 2204, JACKSONVILLE, FL 32204-4428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25413
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277846
—
OR
05
—
807283400
—
ID
05
—
8437543
—
WA
Enumeration date
07/22/2006
Last updated
02/04/2022
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