Individual
LANE WICKHAM BARTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 285-9321
Mailing address
3815 SW ERICWOOD LN, PORTLAND, OR 97221-4143
(503) 226-2775
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OR MD15964
OR
Other
Enumeration date
08/29/2006
Last updated
02/04/2022
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