Individual
KEITH S LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9135 SW BARNES RD, STE 261, PORTLAND, OR 97225-6601
(503) 216-6300
(503) 216-6324
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD14125
OR
207RX0202X
Medical Oncology Physician
Primary
MD14125
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127308
—
OR
01
—
P00458670
RR MEDICARE
OR
Enumeration date
05/27/2005
Last updated
11/03/2010
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