Individual
LORRAINE B WOSKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 SW VERMONT ST., PORTLAND, OR 97219
(503) 452-0915
(503) 768-9232
Mailing address
2400 SW VERMONT ST., PORTLAND, OR 97219
(503) 452-0915
(503) 768-9232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20007
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00WFBKQF
PTAN
OR
05
—
150413
—
OR
Enumeration date
03/14/2006
Last updated
06/19/2018
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