Individual
LORI SIEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 NE HALSEY STREET, SUITE 300, PORTLAND, OR 97213-4742
(503) 215-2669
(503) 215-8465
Mailing address
P.O. BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00045814
WA
207R00000X
Internal Medicine Physician
Primary
MD21229
OR
Other
Enumeration date
08/15/2006
Last updated
03/29/2011
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