Individual
LARA E. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD201619
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077241A
—
MA
Enumeration date
03/09/2007
Last updated
12/17/2025
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