Individual
DEREK J LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PV-01, PORTLAND, OR 97239-3011
(503) 494-8135
(503) 494-4631
Mailing address
3181 SW SAM JACKSON PARK RD, PV-01, PORTLAND, OR 97239-3011
(503) 494-8135
(503) 494-4631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD157387
OR
207Y00000X
Otolaryngology Physician
ML20007565
WA
207YP0228X
Pediatric Otolaryngology Physician
157387
OR
207YP0228X
Pediatric Otolaryngology Physician
35.095296
OH
Other
Enumeration date
08/31/2006
Last updated
11/14/2023
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