Individual
MR. MACJULIAN L LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2 WRAMC STE 3H, 6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0001
(202) 356-1012
Mailing address
4046 N COLONIAL AVE, PORTLAND, OR 97227-1010
(971) 235-9843
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CPO2003
OR
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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