Individual
ALEXANDER HERMAN LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25050 SE STARK ST, STE 300, GRESHAM, OR 97030-3383
(503) 667-8878
(503) 667-0310
Mailing address
25050 SE STARK ST, STE 300, GRESHAM, OR 97030-3383
(503) 667-8878
(503) 667-0310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD174807
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500704124
—
OR
Enumeration date
08/13/2013
Last updated
07/22/2016
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