Individual
DR. STUART ALAN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 S.W. VERMONT ST., PORTLAND, OR 97219-1940
(503) 452-0915
(503) 768-9232
Mailing address
2400 S.W. VERMONT ST., PORTLAND, OR 97219-1940
(503) 452-0915
(503) 768-9232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD 9348
OR
208000000X
Pediatrics Physician
Primary
MD09348
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004861
—
OR
Enumeration date
11/02/2005
Last updated
09/30/2010
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