Individual
DR. CHARLES MICHEL LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2018-01464
NC
2084N0400X
Neurology Physician
251607
NY
2084N0400X
Neurology Physician
Primary
MD218681
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03100850
—
NY
Enumeration date
03/29/2007
Last updated
05/21/2025
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