Organization
PACIFIC OBSTETRICS & GYNECOLOGY, L.L.C.
Active
Other names
Lavena Morgan, M.D., L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVENA MARIE MORGAN-JAHANSHIR M.D. (OWNER/PHYSICIAN)
(503) 485-5959
Entity
Organization
Contact information
Practice address
700 BELLEVUE ST SE STE 210, SALEM, OR 97301-3855
(503) 485-5959
(503) 485-5962
Mailing address
PO BOX 2082, PORTLAND, OR 97208-2082
(503) 356-9166
(503) 771-7221
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD21448
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151319
—
OR
01
—
R107569
GROUP PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
OR
Enumeration date
04/01/2008
Last updated
08/01/2008
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