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Individual

PENELOPE D LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3500 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE SOUTH ORTHOPAEDICS, PORTLAND, OR 97227-1196
(503) 331-5031
Mailing address
3500 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE SOUTH ORTHOPAEDICS, PORTLAND, OR 97227-1196
(503) 331-5031

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60676898
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD179026
OR

Other

Enumeration date
04/19/2010
Last updated
02/01/2022
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