Individual
KYLE LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N GRAHAM ST STE 200, PORTLAND, OR 97227-1676
(503) 413-4134
Mailing address
2800 N. VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227-1830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD198584
OR
Other
Enumeration date
03/24/2017
Last updated
09/23/2021
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